2017, Number 4
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Rev Sanid Milit Mex 2017; 71 (4)
Radiotherapy,chemotherapy and gliomas. Decisions supported by methylation markers and inmunohistochemical analysis
Arroyo-Mayorga G, Arroyo-Del Castillo JG, Zazueta-López IB
Language: Spanish
References: 15
Page: 303-308
PDF size: 291.04 Kb.
ABSTRACT
Astrocytomas or brain gliomas are the most common type of intraaxial
tumors. In Mexico they account for 2.3% of primary central
nervous system neoplasms. During the management of these tumors
it is frequently a need to determine which cases are candidates to
radiotherapy, chemotherapy or both. Genetic markers for the vast
majority of tumors exist, some are useful to guide their treatment.
Description of the available markers that help reach and guide the
treatment these patients is made. DNA methylation promoter in a
CpG island methylator phenotype was found in glioblastomas. Magnetic
resonance spectroscopic imaging with hyperpolarized pyruvate
highlight the difference between tumor’s persistence and radiotherapy
effects, as well as the immediate response to temozolamide. The use of
these techniques is proposed to optimize the therapy for these patients.
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