2022年8月14日 星期日

[腦瘤] glioma 相關整理

在2021年, WHO 針對CNS腫瘤發表新的分期, 其中成人的glioma被分成以下幾種

Adult-type diffuse gliomas
  Astrocytoma, IDH-mutant
  Oligodendroglioma, IDH-mutant, and 1p/19q-codeleted
  Glioblastoma, IDH-wildtype
Circumscribed astrocytic gliomas
  Pilocytic astrocytoma
  High-grade astrocytoma with piloid features
  Pleomorphic xanthoastrocytoma
  Subependymal giant cell astrocytoma
  Chordoid glioma
  Astroblastoma, MN1-altered
Glioneuronal and neuronal tumors
  Ganglioglioma (分類裡面有很多種, 但是這邊只列NCCN有提到的)

與此作對應, NCCN guideline 以及最新的2022 ASTRO guidelines 都做出相對應的調整, 以下就來細讀吧XD


ref. 
1. The 2021 WHO Classification of Tumors of the Central Nervous System: a summary. Neuro Oncol. 2021;23(8):1231-1251.

2. Halasz, Lia M., et al. "Radiation Therapy for IDH-Mutant Grade 2 and Grade 3 Diffuse Glioma: An ASTRO Clinical Practice Guideline." Practical Radiation Oncology (2022).


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