Astroblastoma: Does histology predict biologic behavior? Journal Article


Authors: Thiessen, B.; Finlay, J.; Kulkarni, R.; Rosenblum, M. K.
Article Title: Astroblastoma: Does histology predict biologic behavior?
Abstract: Astroblastoma is a rare and controversial tumor about which little is known. We have made the diagnosis in seven patients since 1990 at Memorial Sloan-Kettering Cancer Center. Four patients had astroblastomas with anaplastic features, whereas three patients had tumors which were well-differentiated. All three patients with low grade lesions are alive and recurrence free after surgery alone (mean follow-up 29 months). All four patients with anaplastic astroblastoma were treated with surgery, radiotherapy and chemotherapy. One died of infection during induction chemotherapy. Two others died of tumor progression at 28 and 42 months. Radiographic response to chemotherapy was seen in one patient. The results of our series and other reports suggest that anaplastic histology is a prognostic factor in the setting of astroblastoma. More aggressive treatment is necessary for patients with anaplastic astroblastoma although the precise role of irradiation and chemotherapy cannot be defined at this time.
Keywords: adolescent; adult; clinical article; human tissue; preschool child; treatment outcome; child, preschool; antineoplastic agents; combined modality therapy; chemotherapy; glioma; brain neoplasms; magnetic resonance imaging; infection; radiotherapy; tumor differentiation; astrocyte; histology; infant; predictive value of tests; radiography; tumor growth; fatal outcome; astrocytoma; anaplastic carcinoma; pediatrics; blastoma; astroblastoma; humans; prognosis; human; male; female; article
Journal Title: Journal of Neuro-Oncology
Volume: 40
Issue: 1
ISSN: 0167-594X
Publisher: Springer  
Date Published: 1998-10-01
Start Page: 59
End Page: 65
Language: English
DOI: 10.1023/a:1006025000409
PUBMED: 9874187
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 12 December 2016 -- Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Marc Rosenblum
    424 Rosenblum
  2. Jonathan Finlay
    67 Finlay