Radiotherapy for Diffuse Intrinsic Pontine Glioma: Insufficient but Indispensable
- PMID: 37151149
- PMCID: PMC10172015
- DOI: 10.14791/btrt.2022.0041
Radiotherapy for Diffuse Intrinsic Pontine Glioma: Insufficient but Indispensable
Abstract
Diffuse intrinsic pontine gliomas (DIPGs) account for 10%-20% of all central nervous system tumors in children and are the leading cause of death in children with brain tumors. Although many clinical trials have been conducted over the past decades, the survival outcome has remained unchanged. Over 90% of children die within 2 years of the diagnosis, and radiotherapy remains the standard treatment to date. To improve the prognosis, hyperfractionated and hypofractionated radiotherapy and/or addition of radiosensitizers have been investigated. However, none of the radiotherapy approaches have shown a survival benefit, and the overall survival of patients with DIPG is approximately 11 months. Here, we comprehensively review the management of DIPG with focus on radiotherapy.
Keywords: Diffuse intrinsic pontine glioma; Radiation therapy.
Copyright © 2023 The Korean Brain Tumor Society, The Korean Society for Neuro-Oncology, and The Korean Society for Pediatric Neuro-Oncology.
Conflict of interest statement
The authors have no potential conflicts of interest to disclose.
References
-
- Hargrave D, Bartels U, Bouffet E. Diffuse brainstem glioma in children: critical review of clinical trials. Lancet Oncol. 2006;7:241–248. - PubMed
-
- Jansen MH, van Vuurden DG, Vandertop WP, Kaspers GJ. Diffuse intrinsic pontine gliomas: a systematic update on clinical trials and biology. Cancer Treat Rev. 2012;38:27–35. - PubMed
-
- Louis DN, Perry A, Reifenberger G, von Deimling A, Figarella-Branger D, Cavenee WK, et al. The 2016 World Health Organization classification of tumors of the central nervous system: a summary. Acta Neuropathol. 2016;131:803–820. - PubMed
-
- Lassman LP, Arjona VE. Pontine gliomas of childhood. Lancet. 1967;1:913–915. - PubMed
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