Long-term survivors of glioblastoma: Clinical features and molecular analysis

Yukihiko Sonoda, Toshihiro Kumabe, Mika Watanabe, Yoichi Nakazato, Tomoo Inoue, Masayuki Kanamori, Teiji Tominaga

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Background: Glioblastoma is a highly lethal neoplasm with a median survival of 12-14 months; only 2-5% of patients survive >3 years. Methods: At our institute, patients with glioblastoma are initially treated with maximum tumor resection followed by radiation and the intravenous injection of nimustine hydrochloride (ACNU). Results: Using this strategy, 18 of 123 (14.6%) patients treated at our hospital survived >3 years; 7 manifested no recurrence, and the other 11 had early recurrence and received additional therapies. To identify factors associated with prolonged survival, we compared these patients with 21 short-term (<1.5 years) glioblastoma survivors. In the long-term survivors, the MGMT promoter methylation was significantly more frequent. The rate of p53 mutation was lower, and the rate of PTEN mutations and the proliferation index were slightly higher in short-term survivors. Conclusion: By multivariate analysis, we found that a younger age and MGMT promoter methylation were significant favorable factors in patients with glioblastoma.

Original languageEnglish
Pages (from-to)1349-1358
Number of pages10
JournalActa neurochirurgica
Volume151
Issue number11
DOIs
Publication statusPublished - 2009 Nov

Keywords

  • Glioblastoma
  • Long-term survival
  • MGMT
  • P53
  • PTEN

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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