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The Rapid Development of Glioblastoma: A Report of Two Cases
Diffuse astrocytic gliomas and their most common and aggressive representation, glioblastoma (GBM), which as per the 2021 World Health Organization (WHO) guidelines is an isocitrate dehydrogenase (IDH) wildtype without alteration in histone 3 and has glomeruloid vascular proliferation, tumor necrosi...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314278/ https://www.ncbi.nlm.nih.gov/pubmed/35911333 http://dx.doi.org/10.7759/cureus.26319 |
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author | Stoyanov, George S Lyutfi, Emran Georgiev, Radoslav Dzhenkov, Deyan L Kaprelyan, Ara |
author_facet | Stoyanov, George S Lyutfi, Emran Georgiev, Radoslav Dzhenkov, Deyan L Kaprelyan, Ara |
author_sort | Stoyanov, George S |
collection | PubMed |
description | Diffuse astrocytic gliomas and their most common and aggressive representation, glioblastoma (GBM), which as per the 2021 World Health Organization (WHO) guidelines is an isocitrate dehydrogenase (IDH) wildtype without alteration in histone 3 and has glomeruloid vascular proliferation, tumor necrosis, telomerase reverse transcriptase (TERT) promoter mutation, epidermal growth factor receptor (EGFR) gene amplification, or +7/−10 chromosome copy-number changes, are fast-growing tumors with a dismal patient prognosis. Herein, we present cases of a 63-year-old male who, despite no evidence of tumor growth, developed a 6-cm tumor, histologically verified as GBM, WHO CNS grade 4, within eight months, and a 74-year-old female in whom a 1.5-cm tumor grew to 43 mm within 28 days, once again histologically confirmed as GBM, WHO CNS grade 4. Other studies using previous WHO guidelines and including up to 106 cases have shown that these tumors have a daily growth rate of 1.4% and can double their size in a period varying from two weeks to 49.6 days. These growth rates further underline the need for extensive surgical resection as disease progression is rapid, with studies reporting that resection of more than 85% of the tumor volume determined on neuroradiology improves survival compared to biopsy or limited resection and resection of more than 98% of the tumor volume statistically improves patient survival. |
format | Online Article Text |
id | pubmed-9314278 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-93142782022-07-29 The Rapid Development of Glioblastoma: A Report of Two Cases Stoyanov, George S Lyutfi, Emran Georgiev, Radoslav Dzhenkov, Deyan L Kaprelyan, Ara Cureus Neurology Diffuse astrocytic gliomas and their most common and aggressive representation, glioblastoma (GBM), which as per the 2021 World Health Organization (WHO) guidelines is an isocitrate dehydrogenase (IDH) wildtype without alteration in histone 3 and has glomeruloid vascular proliferation, tumor necrosis, telomerase reverse transcriptase (TERT) promoter mutation, epidermal growth factor receptor (EGFR) gene amplification, or +7/−10 chromosome copy-number changes, are fast-growing tumors with a dismal patient prognosis. Herein, we present cases of a 63-year-old male who, despite no evidence of tumor growth, developed a 6-cm tumor, histologically verified as GBM, WHO CNS grade 4, within eight months, and a 74-year-old female in whom a 1.5-cm tumor grew to 43 mm within 28 days, once again histologically confirmed as GBM, WHO CNS grade 4. Other studies using previous WHO guidelines and including up to 106 cases have shown that these tumors have a daily growth rate of 1.4% and can double their size in a period varying from two weeks to 49.6 days. These growth rates further underline the need for extensive surgical resection as disease progression is rapid, with studies reporting that resection of more than 85% of the tumor volume determined on neuroradiology improves survival compared to biopsy or limited resection and resection of more than 98% of the tumor volume statistically improves patient survival. Cureus 2022-06-25 /pmc/articles/PMC9314278/ /pubmed/35911333 http://dx.doi.org/10.7759/cureus.26319 Text en Copyright © 2022, Stoyanov et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Neurology Stoyanov, George S Lyutfi, Emran Georgiev, Radoslav Dzhenkov, Deyan L Kaprelyan, Ara The Rapid Development of Glioblastoma: A Report of Two Cases |
title | The Rapid Development of Glioblastoma: A Report of Two Cases |
title_full | The Rapid Development of Glioblastoma: A Report of Two Cases |
title_fullStr | The Rapid Development of Glioblastoma: A Report of Two Cases |
title_full_unstemmed | The Rapid Development of Glioblastoma: A Report of Two Cases |
title_short | The Rapid Development of Glioblastoma: A Report of Two Cases |
title_sort | rapid development of glioblastoma: a report of two cases |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9314278/ https://www.ncbi.nlm.nih.gov/pubmed/35911333 http://dx.doi.org/10.7759/cureus.26319 |
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