机构:[a]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Brain Tumor, Beijing, China重点科室诊疗科室神经外科神经病学中心神经外科神经病学中心首都医科大学附属天坛医院[b]Department of Neuropathology, Beijing Neurosurgical Institute, Beijing, China研究所北京市神经外科研究所首都医科大学附属天坛医院[c]Department of Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, China重点科室医技科室放射科放射科首都医科大学附属天坛医院[d]Department of Obstetrics and Gynecology, Capital Medical University Electric Power Teaching Hospital, Beijing, China.
Objectives: Glioma is the most common malignant tumor of the brain and the intracranial dissemination of gliomas is the late stage of the development of the tumor. However, there is little research in literature on the occurrence of intracranial dissemination of gliomas. In order to provide a reference for clinical work, we carried out this study on intracranial dissemination of glioma. Patients and Methods: A total of 629 patients with gliomas received tumor resection by the same surgeon from August 2010 to September 2015 were included in this study. The authors performed a retrospective review of the patients and the information regarding clinical features, histopathological results, molecular pathologic results and clinical outcomes was collected and analyzed. Results: In this retrospective study, we found that the intracranial dissemination phenomenon occurred in 53 patients (8.43%). We analyzed the clinical characteristics of patients and found that the age at diagnosis (P = 0.011), WHO grade of the tumor (P < 0.001), and involvement of the corpus callosum (P = 0.010) were associated with the occurrence of dissemination. The higher grade of the tumor, the more prone to disseminate. Deletion of 1p/19q had no significant correlation with the intracranial dissemination. MMP9, Ki-67, and EGFR were highly expressed in tumor cells that caused dissemination, and the level of Ki-67 expression had significance in statistics (P < 0.01). Conclusion: In our study, older age (> 40 years), high pathological grade, invasion of the corpus callosum and high levels of Ki-67 expression were risk factors associated with the intracranial dissemination of gliomas.
基金:
Capital Health Project [Z131100006813011]; Capital Health Development and Scientific Research Project [shoufa 2016-2-2044]; Basic-Clinical Scientific Research Cooperation Foundation of the Capital Medical University [13JL04]
第一作者机构:[a]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Brain Tumor, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[a]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, China National Clinical Research Center for Neurological Diseases, Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing Key Laboratory of Brain Tumor, Beijing, China[*1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 TiantanXili Dongcheng District, Beijing, 100050, China.
推荐引用方式(GB/T 7714):
Xu Cai,Jun-Jie Qin,Shu-Yu Hao,et al.Clinical characteristics associated with the intracranial dissemination of gliomas[J].CLINICAL NEUROLOGY AND NEUROSURGERY.2018,166:141-146.doi:10.1016/j.clineuro.2018.01.038.
APA:
Xu Cai,Jun-Jie Qin,Shu-Yu Hao,Huan Li,Chun Zeng...&Jian Xie.(2018).Clinical characteristics associated with the intracranial dissemination of gliomas.CLINICAL NEUROLOGY AND NEUROSURGERY,166,
MLA:
Xu Cai,et al."Clinical characteristics associated with the intracranial dissemination of gliomas".CLINICAL NEUROLOGY AND NEUROSURGERY 166.(2018):141-146