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@ARTICLE{Rud:180916,
author = {R. Rudà and D. Capper$^*$ and A. D. Waldman and J. Pallud
and G. Minniti and T. J. Kaley and E. Bouffet and G.
Tabatabai$^*$ and E. Aronica and A. S. Jakola and S.
Pfister$^*$ and D. Schiff and A. B. Lassman and D. A.
Solomon and R. Soffietti and M. Weller and M. Preusser and
A. Idbaih and P. Y. Wen and M. J. van den Bent},
title = {{E}ano-{E}uracan-{S}no {G}uidelines on {C}ircumscribed
{A}strocytic {GLIOMAS}, {G}lioneuronal and {N}euronaltumors},
journal = {Neuro-Oncology},
volume = {24},
number = {12},
issn = {1522-8517},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {DKFZ-2022-01641},
pages = {2015-2034},
year = {2022},
note = {2022 Dec 1;24(12):2015-2034},
abstract = {In the new WHO 2021 Classification of CNS Tumors the
chapter “Circumscribed astrocytic gliomas, glioneuronal
and neuronal tumors” encompasses several different rare
tumor entities, which occur more frequently in children,
adolescents and young adults. The Task Force has reviewed
the evidence of diagnostic and therapeutic interventions,
which is low particularly for adult patients, and draw
recommendations accordingly. Tumor diagnosis, based on WHO
2021, is primarily performed using conventional histological
techniques; however, molecular workup is important for
differential diagnosis, in particular DNA methylation
profiling for the definitive classification of
histologically unresolved cases. Molecular factors are
increasingly of prognostic and predictive importance. MRI
finding are non specific, but for some tumors are
characteristic and suggestive. Gross total resection, when
feasible, is the most important treatment in terms of
prolonging survival and achieving long-term seizure control.
Conformal radiotherapy should be considered in grade 3 and
incompletely resected grade 2 tumors. In recurrent tumors
reoperation and radiotherapy, including stereotactic
radiotherapy, can be useful. Targeted therapies may be used
in selected patients: BRAF and MEK inhibitors in pilocytic
astrocytomas, pleomorphic xanthoastrocytomas, and
gangliogliomas when BRAF altered, and mTOR inhibitor
everolimus in subependymal giant cells astrocytomas
.Sequencing to identify molecular targets is advocated for
diagnostic clarification and to direct potential targeted
therapies.},
subtyp = {Review Article},
cin = {BE01 / TU01 / B062 / HD01},
ddc = {610},
cid = {I:(DE-He78)BE01-20160331 / I:(DE-He78)TU01-20160331 /
I:(DE-He78)B062-20160331 / I:(DE-He78)HD01-20160331},
pnm = {312 - Funktionelle und strukturelle Genomforschung
(POF4-312)},
pid = {G:(DE-HGF)POF4-312},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:35908833},
doi = {10.1093/neuonc/noac188},
url = {https://inrepo02.dkfz.de/record/180916},
}