Treatment options for recurrent high-grade gliomas
- PMID: 28001091
- PMCID: PMC6027924
- DOI: 10.2217/cns-2016-0013
Treatment options for recurrent high-grade gliomas
Abstract
High-grade gliomas are aggressive brain tumors encompassing Grade III and IV classifications. Of these, glioblastoma (GB) is the most malignant with a high rate of recurrence after initial resection. Although standard treatment does exist for newly diagnosed GBs, therapeutic strategies for recurrent GB are less solidified. However, mounting evidence describes the role of re-resection, bevacizumab, chemotherapy, targeted molecular therapies, immunotherapeutic approaches and radiotherapy in recurrent GB management. This review article provides analysis of the aforementioned therapies, through assessing their effect on overall survival. Because GB tumor heterogeneity is prevalent there is a constant need to investigate therapies targeting recurrence. Studies evaluating both therapeutic targets and strategies for high-grade gliomas are and will remain invaluable.
Keywords: glioblastoma; high-grade gliomas; overall survival; progression-free survival; recurrence treatment.
Conflict of interest statement
References
-
- Apuzzo MLJ. Malignant Cerebral Glioma. American Association of Neurological Surgeons; Park Ridge, USA: 1990. pp. 79–89.
-
- Furnari FB, Fenton T, Bachoo RM, et al. Malignant astrocytic glioma: genetics, biology, and paths to treatment. Genes Dev. 2007;21(21):2683–2710. - PubMed
-
- Sathornsumetee S, Reardon DA, Desjardins A, Quinn JA, Vredenburgh JJ, Rich JN. Molecularly targeted therapy for malignant glioma. Cancer. 2007;110(1):13–24. - PubMed
-
- Stupp R, Mason WP, van den Bent MJ, et al. Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma. N. Engl. J. Med. 2005;352(10):987–996. - PubMed
-
•• Seminal article describing the establishment of a standard treatment for glioblastoma (GB) consisting of concomitant chemoradiotherapy with temozolomide (TMZ) followed by 6–12 cycles of adjuvant TMZ.
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