دورية أكاديمية

Clinical course and progression-free survival of adult intracranial and spinal ependymoma patients

التفاصيل البيبلوغرافية
العنوان: Clinical course and progression-free survival of adult intracranial and spinal ependymoma patients
المؤلفون: Vera-Bolanos, Elizabeth, Aldape, Kenneth, Yuan, Ying, Wu, Jimin, Wani, Khalida, Necesito-Reyes, Mary Jo, Colman, Howard, Dhall, Girish, Lieberman, Frank S, Metellus, Philippe, Mikkelsen, Tom, Omuro, Antonio, Partap, Sonia, Prados, Michael, Robins, H Ian, Soffietti, Riccardo, Wu, Jing, Gilbert, Mark R, Armstrong, Terri S
المصدر: Neuro-Oncology, vol 17, iss 3
بيانات النشر: eScholarship, University of California
سنة النشر: 2015
المجموعة: University of California: eScholarship
مصطلحات موضوعية: Prevention, Cancer, Brain Disorders, Brain Cancer, Rare Diseases, Neurosciences, 4.2 Evaluation of markers and technologies, Detection, screening and diagnosis, Adolescent, Adult, Aged, 80 and over, Brain Neoplasms, Disease-Free Survival, Ependymoma, Female, Humans, Kaplan-Meier Estimate, Male, Middle Aged, Proportional Hazards Models, Spinal Cord Neoplasms, Young Adult, CERN Foundation, progression-free survival, Oncology and Carcinogenesis, Oncology & Carcinogenesis
جغرافية الموضوع: 440 - 447
الوصف: BackgroundEpendymomas are rare CNS tumors. Previous studies describing the clinical course of ependymoma patients were restricted to small sample sizes, often with patients at a specific institution.MethodsClinically annotated ependymoma tissue samples from 19 institutions were centrally reviewed. Patients were all adults aged 18 years or older at the time of diagnosis. Potential prognostic clinical factors identified on univariate analysis were included in a multivariate Cox proportional hazards model with backwards selection to model progression-free survival.ResultsThe 282 adult ependymoma patients were equally male and female with a mean age of 43 years (range, 18-80y) at diagnosis. The majority were grade II (78%) with the tumor grade for 20 cases being reclassified on central review (half to higher grade). Tumor locations were spine (46%), infratentorial (35%), and supratentorial (19%). Tumor recurrence occurred in 26% (n = 74) of patients with a median time to progression of 14 years. A multivariate Cox proportional hazards model identified supratentorial location (P < .01), grade III (anaplastic; P < .01), and subtotal resection, followed or not by radiation (P < .01), as significantly increasing risk of early progression.ConclusionsWe report findings from an ongoing, multicenter collaboration from a collection of clinically annotated adult ependymoma tumor samples demonstrating distinct predictors of progression-free survival. This unique resource provides the opportunity to better define the clinical course of ependymoma for clinical and translational studies.
نوع الوثيقة: article in journal/newspaper
وصف الملف: application/pdf
اللغة: unknown
العلاقة: qt5v13f28c; https://escholarship.org/uc/item/5v13f28cTest
الإتاحة: https://escholarship.org/uc/item/5v13f28cTest
حقوق: public
رقم الانضمام: edsbas.B342DD8D
قاعدة البيانات: BASE