DOI QR코드

DOI QR Code

Prognostic Factors in Oligodendrogliomas: a Clinical Study of Twenty-Five Consecutive Patients

  • Atalay, Tugay (Department of Neurosurgery, School of Medicine, Bozok University) ;
  • Ak, Hakan (Department of Neurosurgery, School of Medicine, Bozok University) ;
  • Celik, Bahattin (Department of Neurosurgery, School of Medicine, Harran University) ;
  • Gulsen, Ismail (Department of Neurosurgery, School of Medicine, Yuzuncu Yil University) ;
  • Seckin, Hakan (Department of Neurosurgery, Lokman Hekim Private Hospital) ;
  • Tanik, Nermin (Department of Neurology, School of Medicine, Bozok University) ;
  • Albayrak, Sedat Baki (Department of Neurosurgery, School of Medicine, Suleyman Demirel University) ;
  • Bavbek, Murad (Department of Neurosurgery, School of Medicine, Yildirim Beyazit University)
  • 발행 : 2015.08.03

초록

Background: The purpose of this study was to evaluate the prognostic significance of Ki-67 and subjective microvascular density (SMVD) indexes together with other factors in patients with oligodendroglioma. Materials and Methods: In this retrospective study, oligodendroglioma specimens obtained from twenty-five consecutive patients were evaluated for Ki-67 and SMVD indices to help determine histological grading and investigate the fidelity of these markers in clinical prognosis. Other potentially prognostic factors were Karnofsky performance scale, tumor histological grade, and adjuvant radiotherapy. Results: The Ki-67 proliferation index appeared to have a strong correlation with the grade of the tumor and the survival. Age, gender, adjuvant radiotherapy, surgical resection type (complete versus incomplete) did not have any influence on recurrence. The SMVD index correlated significantly with the 3 to 5-year survival. Conclusions: Ki-67 and MVD indexes are important and useful markers in estimating the prognosis of oligodendrogliomas.

키워드

참고문헌

  1. Ahmed N, Bhurgri Y, Sadiq S, et al (2007). Pediatric brain tumours at a tertiary care hospital in Karachi. Asian Pac J Cancer Prev, 8, 399-404.
  2. Allam A, Radwi A, El Weshi A, et al (2000). Oligodendroglioma: an analysis of prognostic factors and treatment results. Am J Clin Oncol, 23, 170-5. https://doi.org/10.1097/00000421-200004000-00013
  3. Cairncross G, Macdonald D, Ludwin S, et al (1994). Chemotherapy for anaplastic oligodendroglioma. National Cancer Institute of Canada Clinical Trials Group. J Clin Oncol, 12, 2013-21.
  4. Coleman KE, Brat DJ, Cotsonis GA, et al (2006). Proliferation (MIB-1 expression) in oligodendrogliomas: assessment of quantitative methods and prognostic significance. Appl Immunohistochem Mol Morphol, 14, 109-14. https://doi.org/10.1097/01.pai.0000144557.31747.b9
  5. Coons SW, Pearl DK (1998). Mitosis identification in diffuse gliomas: implications for tumor grading. Cancer, 82, 1550-5. https://doi.org/10.1002/(SICI)1097-0142(19980415)82:8<1550::AID-CNCR17>3.0.CO;2-3
  6. Engelhard HH, Stelea A, Mundt A (2003). Oligodendroglioma and anaplastic oligodendroglioma: clinical features, treatment, and prognosis. Surg Neurol, 60, 443-56. https://doi.org/10.1016/S0090-3019(03)00167-8
  7. Fortin D, Cairncross GJ, Hammond RR (1999). Oligodendroglioma: an appraisal of recent data pertaining to diagnosis and treatment. Neurosurgery, 45, 1279-91. https://doi.org/10.1097/00006123-199912000-00001
  8. Gheytanchi E, Mehrazma M, Madjd Z (2014). Expression of Ki-67, p53 and VEGF in pediatric neuroblastoma. Asian Pac J Cancer Prev, 15, 3065-70. https://doi.org/10.7314/APJCP.2014.15.7.3065
  9. Haroon S, Hashmi AA, Khurshid A, et al (2013). Ki67 index in breast cancer: correlation with other prognostic markers and potential in pakistani patients. Asian Pac J Cancer Prev, 14, 4353-8. https://doi.org/10.7314/APJCP.2013.14.7.4353
  10. Heegaard S, Sommer HM, Broholm H, et al (1995). Proliferating cell nuclear antigen and Ki-67 immunohistochemistry of oligodendrogliomas with special reference to prognosis. Cancer, 76, 1809-13. https://doi.org/10.1002/1097-0142(19951115)76:10<1809::AID-CNCR2820761020>3.0.CO;2-I
  11. Heesters MA, Koudstaal J, Go KG, et al (1999). Analysis of proliferation and apoptosis in brain gliomas: prognostic and clinical value. J Neurooncol, 44, 255-66. https://doi.org/10.1023/A:1006398613605
  12. Kayaselcuk F, Zorludemir S, Gumurduhu D, et al (2002). PCNA and Ki-67 in central nervous system tumors: correlation with the histological type and grade. J Neurooncol, 57, 115-21. https://doi.org/10.1023/A:1015739130208
  13. Louis DN, Ohgaki H, Wiestler OD, et al (2007). The 2007 WHO classification of tumours of the central nervous system. Acta Neuropathol, 114, 97-109. https://doi.org/10.1007/s00401-007-0243-4
  14. Miller CR, Dunham CP, Scheithauer BW, et al (2006). Significance of necrosis in grading of oligodendroglial neoplasms: a clinicopathologic and genetic study of newly diagnosed high-grade gliomas. J Clin Oncol, 24, 5419-26. https://doi.org/10.1200/JCO.2006.08.1497
  15. Ocal I, Avci A, Cakalagaoglu F, et al (2014). Lack of correlations among histopathological parameters, Ki-67 proliferation index and prognosis in pheochromocytoma patients. Asian Pac J Cancer Prev, 15, 1751-5. https://doi.org/10.7314/APJCP.2014.15.4.1751
  16. Olson JD, Riedel E, DeAngelis LM (2000). Long-term outcome of low-grade oligodendroglioma and mixed glioma. Neurol, 54, 1442-8. https://doi.org/10.1212/WNL.54.7.1442
  17. Quon H, Hasbini A, Cougnard J, et al (2010). Assessment of tumor angiogenesis as a prognostic factor of survival in patients with oligodendroglioma. J Neurooncol, 96, 277-85. https://doi.org/10.1007/s11060-009-9961-x
  18. Reis-Filho JS, Faoro LN, Carrilho C, et al (2000). Evaluation of cell proliferation, epidermal growth factor receptor, and bcl-2 immunoexpression as prognostic factors for patients with World Health Organization grade 2 oligodendroglioma. Cancer, 88, 862-9. https://doi.org/10.1002/(SICI)1097-0142(20000215)88:4<862::AID-CNCR17>3.0.CO;2-G
  19. Scerrati M, Roselli R, Iacoangeli M, et al (1996). Prognostic factors in low grade (WHO grade II) gliomas of the cerebral hemispheres: the role of surgery. J Neurol Neurosurg Psychiatry, 61, 291-6. https://doi.org/10.1136/jnnp.61.3.291
  20. Schiffer D, Dutto A, Cavalla P, et al (1997). Prognostic factors in oligodendroglioma. Can J Neurol Sci, 24, 313-9. https://doi.org/10.1017/S0317167100032984
  21. Shaw EG, Scheithauer BW, O'Fallon JR, et al (1992). Oligodendrogliomas: the Mayo Clinic experience. J Neurosurg, 76, 428-34. https://doi.org/10.3171/jns.1992.76.3.0428
  22. Vaquero J, Zurita M, Coca S, et al (2000). Prognostic significance of clinical and angiogenesis-related factors in low-grade oligodendrogliomas. Surg Neurol, 54, 229-34. https://doi.org/10.1016/S0090-3019(00)00303-7
  23. Weidner N, Carroll PR, Flax J, et al (1993). Tumor angiogenesis correlates with metastasis in invasive prostate carcinoma. Am J Pathol, 143, 401-9.
  24. Wharton SB, Hibberd S, Eward KL, et al (2004). DNA replication licensing and cell cycle kinetics of oligodendroglial tumours. Br J Cancer, 91, 262-9.
  25. Yates JW, Chalmer B, McKegney FP (1980). Evaluation of patients with advanced cancer using the Karnofsky performance status. Cancer, 45, 2220-4. https://doi.org/10.1002/1097-0142(19800415)45:8<2220::AID-CNCR2820450835>3.0.CO;2-Q
  26. Zahir ST, Vakili M, Navabii H, et al (2014). Clinicopathological findings and five year survival rates for patients with central nervous system tumors in Yazd, Iran. Asian Pac J Cancer Prev, 15, 10319-23.

피인용 문헌

  1. Central, Extraventricular and Atypical Neurocytomas: a Clinicopathologic Study of 35 Cases from Pakistan Plus a Detailed Review of the Published Literature vol.17, pp.3, 2016, https://doi.org/10.7314/APJCP.2016.17.3.1565
  2. Ki-67 protein expression and tumor associated inflammatory cells (macrophages and mast cells) in canine colorectal carcinoma vol.13, pp.1, 2017, https://doi.org/10.1186/s12917-017-1030-7