1. A new functional classification system (FGA/B) with prognostic value for glioma patients
- Author
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Nirjhar Hore, Michael Buchfelder, Sebastian Brandner, Katharina Friedlein, Andreas Merkel, Nicolai E. Savaskan, Ilker Y. Eyüpoglu, Yavor Bozhkov, and Björn Sommer
- Subjects
Adult ,Male ,Oncology ,medicine.medical_specialty ,Adolescent ,Eloquent Brain Areas ,Article ,Young Adult ,Tumor Status ,Text mining ,Internal medicine ,Glioma ,medicine ,Humans ,Young adult ,Child ,Grading (tumors) ,Multidisciplinary ,Brain Neoplasms ,business.industry ,Middle Aged ,Prognosis ,medicine.disease ,Combined Modality Therapy ,Surgery ,Assessment methods ,Tumor reduction ,Female ,business - Abstract
Despite advances in multimodal treatments, malignant gliomas remain characterized by a short survival time. Surgical treatment is accepted to be the first line of therapy, with recent studies revealing that maximal possible tumor reduction exerts significant impact on patient outcome. Consideration of tumor localization in relation to functionally eloquent brain areas has been gaining increasing importance. Despite existing assessment methods, the availability of a simple but reliable preoperative grading based on functional data would therefore prove to be indispensable for the prediction of postoperative outcome and hence for overall survival in glioma patients. We performed a clinical investigation comprising 322 patients with gliomas and developed a novel classification system of preoperative tumor status, which considers tumor operability based on two graduations (Friedlein Grading - FG): FGA with lesions at safe distance to eloquent regions which can be completely resected and FGB referring to tumors which can only be partially resected or biopsied. Investigation of outcome revealed that FGA were characterized by a significantly longer overall survival time compared to FGB. We offer the opportunity to classify brain tumors in a dependable and reproducible manner. The FGA/B grading method provides high prognostic value with respect to overall survival time in relation to the extent of location-dependent tumor resection.
- Published
- 2015
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