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Impact of epidemiological characteristics of supratentorial gliomas in adults brought about by the 2016 world health organization classification of tumors of the central nervous system

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机构: [1]First Hosp Tsinghua Univ, Dept Neurosurg, Beijing, Peoples R China; [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing, Peoples R China; [3]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China; [4]Beijing Inst Brain Disorders, Beijing, Peoples R China; [5]Beijing Key Lab Brain Tumor, Beijing, Peoples R China; [6]Beijing Neurosurg Inst, Dept Pathol, Beijing, Peoples R China
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关键词: gliomas classification epidemiology impact

摘要:
The latest World Health Organization (WHO) classification of tumors of the central nervous system (CNS) integrates both histological and molecular features in the definition of diagnostic entities. This new approach enrolls novel entities of gliomas. In this study, we aimed to reveal the epidemiological characteristics, including age at diagnosis, gender ratio, tumor distribution and survival, of these new entities. We retrospectively reclassified 1210 glioma samples according to the 2016 CNS WHO diagnostic criteria. In our cohort, glioblastoma multiforme (GBM) with wildtype isocitrate dehydrogenase (IDH) was the most common malignant tumor in the brain. Almost all gliomas were more prevalent in males, especially in the cluster of WHO grade III gliomas and IDH-wildtype GBM. Age at diagnosis was directly proportional to tumor grade. With respect to the distribution by histology, we found that gliomas concurrent with IDH-mutant and 1p/19q-codeleted or with single IDH-mutant were mainly distributed in frontal lobe, while those with IDH-wildtype were dominant in temporal lobe. Lesions located in insular lobe were more likely to be IDH-mutant astrocytoma. In summary, our results elucidated the epidemiological characteristics as well as the regional constituents of these new gliomas entities, which could bring insights into tumorigenesis and personalized treatment of Chinese glioma population.

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出版当年[2016]版:
大类 | 1 区 医学
小类 | 2 区 细胞生物学 2 区 肿瘤学
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Q1 CELL BIOLOGY Q1 ONCOLOGY
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第一作者机构: [1]First Hosp Tsinghua Univ, Dept Neurosurg, Beijing, Peoples R China;
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通讯机构: [2]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurosurg, Beijing, Peoples R China; [3]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China; [4]Beijing Inst Brain Disorders, Beijing, Peoples R China; [5]Beijing Key Lab Brain Tumor, Beijing, Peoples R China;
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