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2014 ; 61
(7
): 1173-9
Nephropedia Template TP
gab.com Text
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English Wikipedia
Long-term outcome of 4,040 children diagnosed with pediatric low-grade gliomas:
an analysis of the Surveillance Epidemiology and End Results (SEER) database
#MMPMID24482038
Bandopadhayay P
; Bergthold G
; London WB
; Goumnerova LC
; Morales La Madrid A
; Marcus KJ
; Guo D
; Ullrich NJ
; Robison NJ
; Chi SN
; Beroukhim R
; Kieran MW
; Manley PE
Pediatr Blood Cancer
2014[Jul]; 61
(7
): 1173-9
PMID24482038
show ga
BACKGROUND: Children with pediatric low-grade gliomas (PLGG) are known to have
excellent 10-year survival rates; however the outcomes of adult survivors of PLGG
are unknown. We identified patients diagnosed with PLGG diagnosed between 1973
and 2008 through the Surveillance Epidemiology and End Results (SEER) database to
examine outcomes of adult survivors of PLGG. PROCEDURE: Four thousand and forty
patients with either WHO grade I or II PLGG were identified and outcome data
retrieved. Two analyses were performed to assess survival and risk of death from
tumor. Competing risks analysis was conducted and cumulative incidence curves of
death due to disease were generated. Cox proportional hazards regression was
performed, with adjustment for non-disease death. Kaplan-Meier curves for overall
cancer specific survival (OS) were also generated. RESULTS: The 20-year OS was
87% ± 0.8% and the 20-year cumulative incidence of death due to glioma was 12% ±
0.8%. The incidence of death after transition to adulthood (age greater than 22
years) was slightly lower, with 20-year cumulative incidence of disease death of
7% ± 1.8%. Year of diagnosis, age of diagnosis, histology, WHO grade, primary
site, radiation, and degree of initial resection were prognostic in univariate
analysis, while the administration of radiation was the greatest risk of death in
multivariate analysis of OS (hazard ratio = 3.9). CONCLUSIONS: PLGGs are
associated with an excellent long-term survival, with a low likelihood of PLGG
related death in adult survivors. Treatment strategies for pediatric tumors
should therefore aim for disease control during childhood and adolescence with an
emphasis on minimizing long-term treatment induced toxicities.