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024 7 _ |a 10.1007/s11060-016-2151-8
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024 7 _ |a pmid:27180091
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024 7 _ |a 0167-594X
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024 7 _ |a 0167-594x
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024 7 _ |a 1573-7373
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037 _ _ |a DKFZ-2017-01733
041 _ _ |a eng
082 _ _ |a 610
100 1 _ |a Carceller, Fernando
|b 0
245 _ _ |a Pseudoprogression in children, adolescents and young adults with non-brainstem high grade glioma and diffuse intrinsic pontine glioma.
260 _ _ |a Dordrecht [u.a.]
|c 2016
|b Springer Science + Business Media B.V
336 7 _ |a article
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336 7 _ |a Journal Article
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520 _ _ |a Pseudoprogression (PsP) is a treatment-related phenomenon which hinders response interpretation. Its prevalence and clinical impact have not been evaluated in children/adolescents. We assessed the characteristics, risk factors and prognosis of PsP in children/adolescents and young-adults diagnosed with non-brainstem high grade gliomas (HGG) and diffuse intrinsic pontine gliomas (DIPG). Patients aged 1-21 years diagnosed with HGG or DIPG between 1995 and 2012 who had completed radiotherapy were eligible. PsP was assessed according to study-specific criteria and correlated with first-line treatment, molecular biomarkers and survival. Ninety-one patients (47 HGG, 44 DIPG) were evaluable. Median age: 10 years (range, 2-20). Eleven episodes of PsP were observed in 10 patients (4 HGG, 6 DIPG). Rates of PsP: 8.5 % (HGG); 13.6 % (DIPG). Two episodes of PsP were based on clinical findings alone; nine episodes had concurrent radiological changes: increased size of lesions (n = 5), new focal enhancement (n = 4). Temozolomide, MGMT methylation or H3F3A mutations were not found to be associated with increased occurrence of PsP. For HGG, 1-year progression-free survival (PFS) was 41.9 % no-PsP versus 100 % PsP (p = 0.041); differences in 1-year overall survival (OS) were not significant. For DIPG, differences in 1-year PFS and OS were not statistically significant. Hazard ratio (95 %CI) of PsP for OS was 0.551 (0.168-1.803; p = 0.325) in HGG; and 0.308 (0.107-0.882; p = 0.028) in DIPG. PsP occurred in both pediatric HGG and DIPG patients at a comparable rate to adult HGG. PsP was associated with improved 1-yr PFS in HGG patients. PsP had a protective effect upon OS in DIPG patients.
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700 1 _ |a Fowkes, Lucy A
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700 1 _ |a Khabra, Komel
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700 1 _ |a Moreno, Lucas
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700 1 _ |a Saran, Frank
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700 1 _ |a Burford, Anna
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700 1 _ |a Mackay, Alan
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700 1 _ |a Jones, David
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700 1 _ |a Hovestadt, Volker
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700 1 _ |a Marshall, Lynley V
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700 1 _ |a Vaidya, Sucheta
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700 1 _ |a Mandeville, Henry
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700 1 _ |a Jerome, Neil
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700 1 _ |a Bridges, Leslie R
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700 1 _ |a Laxton, Ross
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700 1 _ |a Al-Sarraj, Safa
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700 1 _ |a Pfister, Stefan
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700 1 _ |a Leach, Martin O
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700 1 _ |a Pearson, Andrew D J
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700 1 _ |a Jones, Chris
|b 19
700 1 _ |a Koh, Dow-Mu
|b 20
700 1 _ |a Zacharoulis, Stergios
|b 21
773 _ _ |a 10.1007/s11060-016-2151-8
|g Vol. 129, no. 1, p. 109 - 121
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|t Journal of neuro-oncology
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