Pediatric low-grade gliomas: implications of the biologic era.

作者: Roger J. Packer , Stephan Pfister , Eric Bouffet , Robert Avery , Pratiti Bandopadhayay

DOI: 10.1093/NEUONC/NOW209

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摘要: For the past decade, it has been recognized that pediatric low-grade gliomas (LGGs) and glial-neuronal tumors carry distinct molecular alterations with resultant aberrant intracellular signaling in Ras-mitogen-activated protein kinase pathway. The conclusions recommendations of a consensus conference how best to integrate growing body genetic information into tumor classifications and, more importantly, for future treatment LGGs are summarized here. There is uniform agreement characterization must be incorporated classification increasingly critical appropriate management. Molecular-targeted therapies should integrated expeditiously, but also carefully management these success measured not only by radiographic responses or stability, functional outcomes. These trials need carried out caveat long-term impact molecularly targeted therapy on developing nervous system, especially long duration treatment, essentially unknown.

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