Astrocitomas Difusos de Baixo Grau de Malignidade
DOI:
https://doi.org/10.34024/rnc.1998.v6.10331Palavras-chave:
Astrocitoma, glioma, radioterapiaResumo
Os autores apresentam uma revisão sobre astrocitomas de baixo grau de malignidade (Grau II – OMS), ressaltando, particularmente, os aspectos controversos em relação ao tratamento desses tumores.
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Referências
1. Barker, F.G.; Chang, S.M.; Huhn, S.L.; Davis, R.L. et al. Age and the risk of anaplasia in magnetic resonance-nonenhancing supratentorial cerebral tumors. Cancer, 80: 936-41, 1997.
2. Berger, M.S.; Deliganis, A.V.; Dobbins, J.; Keles, G.E. The effect of extent of resection on recurrence in patients with low-grade cerebral hemisphere gliomas. Cancer, 74: 17841791, 1994.
3. Bruner, J.M. Neuropathology of malignant gliomas. Sem Oncol, 21: 126-138, 1994.
4. Cairncross, J.G.; Laperriere, N.J. Low-grade glioma. To treat or not to treat? Arch Neurol, 46: 1238-1239, 1989.
5. Chamberlain, M.C.; Murovic, J.A.; Levin V.A. Absence of contrast enhancement on CT brain scans of patients with supratentorial malignant gliomas. Neurology, 38: 1371-1374, 1988.
6. Constine, L.S.; Woolf, P.D.; Cann, D.; Mick, G. et al. Hypothalamic-pituitary dysfunction after radiation for brain tumors. N Engl J Med, 328: 87-94, 1993.
7. Daumas-Duport, D.; Scheithauer, B.; O’Fallon, J.; Kelly, P. Grading of astrocytomas. A simple and reproducible method. Cancer, 62: 2152-2165, 1988. 8. Eyre, H.J.; Crowley, J.J.; Townsend, J.J.; Eltringham, J.R. et al. A randomized trial of radiotherapy versus radiotherapy plus CCNU for incompletely resected low-grade gliomas: a Southwest Oncology Group study. J. Neurosurg, 78: 909-914, 1993.
9. Fazekas, J.T. Treatment of grades I and II brain astrocytomas. The role of radiotherapy. Int J Radiat Oncol Biol Phys, 2: 661666, 1977.
10. Garcia, D.M.; Fulling, K.H.; Marks, J.E. The value of radiation therapy in addition to surgery for astrocytomas of the adult cerebrum. Cancer, 55: 919-927, 1985.
11. Gruber, M.; Hochberg, F. Systematic evaluations of primary brain tumors. J Nucl Med, 31: 969-970, 1987.
12. Hochberg, F.H.; Slotnick, B. Neuropsychologic impairment in astrocytomas survivors. Neurology, 30: 172-177, 1980.
13. Kelly, P.J.; Daumas-Duport, C.; Kispert, D.B.; Kall, B.A. et al. Imaging-based stereotaxic serial biopsies in untreated intracranial glial neoplasms. J Neurosurg, 66: 865-874, 1987.
14. Kleihues, P.; Burger, P.C.; Scheithauer B.W. (eds.) Histological typing of tumours of the Central Nervous System, Berlin: Springer-Verlag, 1993.
15. Kleihues, P.; Davis, R.L.; Ohgaki, H.; Cavanee, W.K. Low-grade diffuse astrocitomas. In: Kleihues, P.; Cavanee, W.K. (eds.) Pathology and genetics of tumours of the nervous system, Lyon: International Agency for Research on Cancer, 1997, p. 10-14.
16. Krouwer, H.G.J.; Davis, R.L.; Silver, P.; Prados, M. Gemistocitic astrocytomas: a reappraisal. J Neurosurg, 74: 399-406, 1991.
17. Lassoff, S.J.; Hochberg, F.H.; Skates, S.J. Low-grade gliomas: assumption in the evaluation of low-absorption CT masses. Neurology, 39(suppl 1): 227, 1989.
18. Laws, E.R.; Taylor, W.F.; Clifton, M.B.; Okaziki, H. Neurosurgical management of low-grade astrocytoma of cerebral hemispheres. J Neurosurg, 61: 665-673, 1984.
19. Leibel, S.A.; Sheline, G.E.; Wara, W.M.; Boldrey, E.B.; Nielsen, S.L. The role of radiation therapy in the treatment of astrocytomas. Cancer, 35: 1551-1557, 1975.
20. MacDonald, D.R. Low-grade gliomas, mixed gliomas, and oligodendrogliomas. Sem Oncol,
21: 236-248, 1994. 21. Marie, J.P.; Coudin, B.; Guerin, J.; Caudry, M. Neuropsychologic impairment in adults with brain tumors. Am J Clin Oncol, 10: 156-162, 1987.
22. McCormack, B.M.; Miller, D.C.; Budzilovich, G.N.; Voorhees, G.J.; Ranshohoff, J. Treatment and survival of low-grade astrocytoma in adults: 1977-1988. Neurosurgery, 31: 636-642, 1992.
23. Ng, H.K.; Leung, S.Y. The new WHO classification of CNS tumors: a selective review. Adv Anat Pathol, 2: 195-207, 1995.
24. North, C.A.; North, R.B.; Epstein, J.A.; Piantadosi, S.; Wharan, M.D. Low-grade astrocytomas. Survival and quality of life after radiation therapy. Cancer, 66: 6-14, 1990.
25. Pedersen, H.; Gjerris, F.; Kliken, L. Malignancy criteria in computed tomography of primary supratentorial tumors in infancy and childhood. J Neurosurg, 68: 698-704, 1989.
26. Perry, J.R.; DeAngelis, L.M.; Schold, S.C.; Burger, P.C. et al. Challenges in the design and conduct of phase III brain tumor therapy trials. Neurology, 49: 912-917, 1997.
27. Piepmeier, J.M. Observations on the current treatment of lowgrade astrocytic tumors of the cerebral hemispheres. J Neurosurg, 67: 177-181, 1987. 28. Recht, L.D.; Bernstein, M. Low-grade gliomas. In: Wen, P.Y.; Black, P.M.; eds: Neurologic Clinics. Brain tumors in adult, Philadelphia: W. B. Saunders Company, 1995, p. 847-859.
29. Recht, L.D.; Lew, R.; Smith, T.W. Suspected low-grade glioma: is deferring treatment safe? Ann Neurol, 31: 431-436, 1992.
30. Reichenthal, E.; Feldman, Z.; Cohen, M.L.; Loven, D.; Zucker, G. Hemispheric supratentorial low-grade gliomas. Neurochirurgia, 35: 18-22, 1992.
31. Shapiro, W.R. Treatment of neuroectodermal brain tumors. Ann Neurol, 12: 231-237, 1982.
32. Shapiro, W.R. Low-grade gliomas: When to treat? Ann Neurol, 31: 437-438, 1992.
33. Shaw, E.G. Low-grade gliomas: to treat or not to treat? A radiation oncologist’s viewpoint. Arch Neurol, 47: 1138-1139, 1990.
34. Shaw, E.G.; Daumas-Duport, C.; Scheithauer, B.W.; Gilbertson, D.T. et al. Radiation therapy in the management of supratentorial astrocitomas. J Neurosurg, 70: 853-61, 1989. MALHEIROS, S.M.F.; STÁVALE, J.N.; FRANCO, C.M.R.; BRAGA, F.M. & GABBAI, A.A. - Rev. Neurociências 6(2): 75-80, 1998 Astrocitomas Difusos de Baixo Grau de Malignidade
35. Shaw, E.G.; Scheithauer, B.W.; Dinapoli, R.P. Low-grade hemispheric astrocytomas. In: Black, P.M.; Loeffler, J.S. (eds.) Cancer of the nervous system. Cambridge: Blackwell Science, 1997, p. 441-463.
36. Soffietti, R.; Chio, A.; Giordana, M.T.; Vasario, E.; Schiffer, D. Prognostic factors in well differentiated cerebral astrocytomas. Neurosurgery, 24: 686-692, 1989.
37. Vecht, C.T. Effect of age on treatment decisions in low-grade glioma. J Neurol Neurosurg Psy, 56: 1259-1264, 1993.
38. Vertosick Jr., F.T.; Selker, R.G.; Arena, V.C. Survival of patients with well-differentiated astrocytomas diagnosed in the era of computed tomography. Neurosurgery, 28: 496-501, 1991.
39. Wringer, M.J.; MacDonald, D.R.; Cairncross, J.G. Supretentorial anaplastic gliomas in adults. The prognostic importance of extent of resection and prior low-grade glioma. J Neurosurg, 71: 487-493, 1989.
2. Berger, M.S.; Deliganis, A.V.; Dobbins, J.; Keles, G.E. The effect of extent of resection on recurrence in patients with low-grade cerebral hemisphere gliomas. Cancer, 74: 17841791, 1994.
3. Bruner, J.M. Neuropathology of malignant gliomas. Sem Oncol, 21: 126-138, 1994.
4. Cairncross, J.G.; Laperriere, N.J. Low-grade glioma. To treat or not to treat? Arch Neurol, 46: 1238-1239, 1989.
5. Chamberlain, M.C.; Murovic, J.A.; Levin V.A. Absence of contrast enhancement on CT brain scans of patients with supratentorial malignant gliomas. Neurology, 38: 1371-1374, 1988.
6. Constine, L.S.; Woolf, P.D.; Cann, D.; Mick, G. et al. Hypothalamic-pituitary dysfunction after radiation for brain tumors. N Engl J Med, 328: 87-94, 1993.
7. Daumas-Duport, D.; Scheithauer, B.; O’Fallon, J.; Kelly, P. Grading of astrocytomas. A simple and reproducible method. Cancer, 62: 2152-2165, 1988. 8. Eyre, H.J.; Crowley, J.J.; Townsend, J.J.; Eltringham, J.R. et al. A randomized trial of radiotherapy versus radiotherapy plus CCNU for incompletely resected low-grade gliomas: a Southwest Oncology Group study. J. Neurosurg, 78: 909-914, 1993.
9. Fazekas, J.T. Treatment of grades I and II brain astrocytomas. The role of radiotherapy. Int J Radiat Oncol Biol Phys, 2: 661666, 1977.
10. Garcia, D.M.; Fulling, K.H.; Marks, J.E. The value of radiation therapy in addition to surgery for astrocytomas of the adult cerebrum. Cancer, 55: 919-927, 1985.
11. Gruber, M.; Hochberg, F. Systematic evaluations of primary brain tumors. J Nucl Med, 31: 969-970, 1987.
12. Hochberg, F.H.; Slotnick, B. Neuropsychologic impairment in astrocytomas survivors. Neurology, 30: 172-177, 1980.
13. Kelly, P.J.; Daumas-Duport, C.; Kispert, D.B.; Kall, B.A. et al. Imaging-based stereotaxic serial biopsies in untreated intracranial glial neoplasms. J Neurosurg, 66: 865-874, 1987.
14. Kleihues, P.; Burger, P.C.; Scheithauer B.W. (eds.) Histological typing of tumours of the Central Nervous System, Berlin: Springer-Verlag, 1993.
15. Kleihues, P.; Davis, R.L.; Ohgaki, H.; Cavanee, W.K. Low-grade diffuse astrocitomas. In: Kleihues, P.; Cavanee, W.K. (eds.) Pathology and genetics of tumours of the nervous system, Lyon: International Agency for Research on Cancer, 1997, p. 10-14.
16. Krouwer, H.G.J.; Davis, R.L.; Silver, P.; Prados, M. Gemistocitic astrocytomas: a reappraisal. J Neurosurg, 74: 399-406, 1991.
17. Lassoff, S.J.; Hochberg, F.H.; Skates, S.J. Low-grade gliomas: assumption in the evaluation of low-absorption CT masses. Neurology, 39(suppl 1): 227, 1989.
18. Laws, E.R.; Taylor, W.F.; Clifton, M.B.; Okaziki, H. Neurosurgical management of low-grade astrocytoma of cerebral hemispheres. J Neurosurg, 61: 665-673, 1984.
19. Leibel, S.A.; Sheline, G.E.; Wara, W.M.; Boldrey, E.B.; Nielsen, S.L. The role of radiation therapy in the treatment of astrocytomas. Cancer, 35: 1551-1557, 1975.
20. MacDonald, D.R. Low-grade gliomas, mixed gliomas, and oligodendrogliomas. Sem Oncol,
21: 236-248, 1994. 21. Marie, J.P.; Coudin, B.; Guerin, J.; Caudry, M. Neuropsychologic impairment in adults with brain tumors. Am J Clin Oncol, 10: 156-162, 1987.
22. McCormack, B.M.; Miller, D.C.; Budzilovich, G.N.; Voorhees, G.J.; Ranshohoff, J. Treatment and survival of low-grade astrocytoma in adults: 1977-1988. Neurosurgery, 31: 636-642, 1992.
23. Ng, H.K.; Leung, S.Y. The new WHO classification of CNS tumors: a selective review. Adv Anat Pathol, 2: 195-207, 1995.
24. North, C.A.; North, R.B.; Epstein, J.A.; Piantadosi, S.; Wharan, M.D. Low-grade astrocytomas. Survival and quality of life after radiation therapy. Cancer, 66: 6-14, 1990.
25. Pedersen, H.; Gjerris, F.; Kliken, L. Malignancy criteria in computed tomography of primary supratentorial tumors in infancy and childhood. J Neurosurg, 68: 698-704, 1989.
26. Perry, J.R.; DeAngelis, L.M.; Schold, S.C.; Burger, P.C. et al. Challenges in the design and conduct of phase III brain tumor therapy trials. Neurology, 49: 912-917, 1997.
27. Piepmeier, J.M. Observations on the current treatment of lowgrade astrocytic tumors of the cerebral hemispheres. J Neurosurg, 67: 177-181, 1987. 28. Recht, L.D.; Bernstein, M. Low-grade gliomas. In: Wen, P.Y.; Black, P.M.; eds: Neurologic Clinics. Brain tumors in adult, Philadelphia: W. B. Saunders Company, 1995, p. 847-859.
29. Recht, L.D.; Lew, R.; Smith, T.W. Suspected low-grade glioma: is deferring treatment safe? Ann Neurol, 31: 431-436, 1992.
30. Reichenthal, E.; Feldman, Z.; Cohen, M.L.; Loven, D.; Zucker, G. Hemispheric supratentorial low-grade gliomas. Neurochirurgia, 35: 18-22, 1992.
31. Shapiro, W.R. Treatment of neuroectodermal brain tumors. Ann Neurol, 12: 231-237, 1982.
32. Shapiro, W.R. Low-grade gliomas: When to treat? Ann Neurol, 31: 437-438, 1992.
33. Shaw, E.G. Low-grade gliomas: to treat or not to treat? A radiation oncologist’s viewpoint. Arch Neurol, 47: 1138-1139, 1990.
34. Shaw, E.G.; Daumas-Duport, C.; Scheithauer, B.W.; Gilbertson, D.T. et al. Radiation therapy in the management of supratentorial astrocitomas. J Neurosurg, 70: 853-61, 1989. MALHEIROS, S.M.F.; STÁVALE, J.N.; FRANCO, C.M.R.; BRAGA, F.M. & GABBAI, A.A. - Rev. Neurociências 6(2): 75-80, 1998 Astrocitomas Difusos de Baixo Grau de Malignidade
35. Shaw, E.G.; Scheithauer, B.W.; Dinapoli, R.P. Low-grade hemispheric astrocytomas. In: Black, P.M.; Loeffler, J.S. (eds.) Cancer of the nervous system. Cambridge: Blackwell Science, 1997, p. 441-463.
36. Soffietti, R.; Chio, A.; Giordana, M.T.; Vasario, E.; Schiffer, D. Prognostic factors in well differentiated cerebral astrocytomas. Neurosurgery, 24: 686-692, 1989.
37. Vecht, C.T. Effect of age on treatment decisions in low-grade glioma. J Neurol Neurosurg Psy, 56: 1259-1264, 1993.
38. Vertosick Jr., F.T.; Selker, R.G.; Arena, V.C. Survival of patients with well-differentiated astrocytomas diagnosed in the era of computed tomography. Neurosurgery, 28: 496-501, 1991.
39. Wringer, M.J.; MacDonald, D.R.; Cairncross, J.G. Supretentorial anaplastic gliomas in adults. The prognostic importance of extent of resection and prior low-grade glioma. J Neurosurg, 71: 487-493, 1989.
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Publicado
1998-06-30
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Malheiros, S. M. F., Stávale, J. N., Franco, C. M. R., Braga, F. M., & Alberto Alain Gabbai, A. A. G. (1998). Astrocitomas Difusos de Baixo Grau de Malignidade. Revista Neurociências, 6(2), 75–80. https://doi.org/10.34024/rnc.1998.v6.10331
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Recebido: 2020-02-18
Publicado: 1998-06-30
Publicado: 1998-06-30
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