Predictors of Postoperative Seizure Outcome in Low Grade Glioma: From Volumetric Analysis to Molecular Stratification.

ROC curves extent of resection low grade glioma molecular markers seizure outcome tumor growth pattern

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
08 Feb 2020
Historique:
received: 24 12 2019
revised: 21 01 2020
accepted: 06 02 2020
entrez: 13 2 2020
pubmed: 13 2 2020
medline: 13 2 2020
Statut: epublish

Résumé

The importance of the extent of resection (EOR) has been widely demonstrated as the main predictor for survival, nevertheless its effect on tumor related epilepsy is less investigated. A total of 155 patients were enrolled after a first-line surgery for supratentorial Diffuse Low Grade Gliomas (DLGGs). Postoperative seizure outcome was analyzed stratifying the results by tumor volumetric data and molecular markers according to 2016 WHO classification. Receiver operating characteristic (ROC) curves were computed to asses EOR, residual tumor volume, and ΔT2T1 MRI index (expressing the tumor growing pattern) corresponding to optimal seizure outcome. A total of 70.97% of patients were seizure-free 18 months after surgery. Better seizure outcome was observed in IDH1/2 mutated and 1p/19q codeleted subgroup. At multivariate analysis, age (

Identifiants

pubmed: 32046310
pii: cancers12020397
doi: 10.3390/cancers12020397
pmc: PMC7072647
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Tamara Ius (T)

Neurosurgery Unit, Department of Neuroscience, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Giada Pauletto (G)

Neurology Unit, Department of Neuroscience, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Barbara Tomasino (B)

Scientific Institute, IRCCS E. Medea, San Vito al Tagliamento, 33078 Pordenone, Italy.

Marta Maieron (M)

Medical Physics, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Riccardo Budai (R)

Neurology Unit, Department of Neuroscience, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Miriam Isola (M)

Department of Medicine, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Daniela Cesselli (D)

Institute of Pathology, Santa Maria della Misericordia University Hospital, 33100 Udine Post, Italy.

Christian Lettieri (C)

Neurology Unit, Department of Neuroscience, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Miran Skrap (M)

Neurosurgery Unit, Department of Neuroscience, Santa Maria della Misericordia University Hospital, 33100 Udine, Italy.

Classifications MeSH