Radiation-induced gliomas.

Abstract:

:Radiation-induced gliomas represent a relatively rare but an extensively published entity in the neuro-oncologic literature. Extensive retrospective cohort data in pediatric populations after therapeutic intracranial radiation show an increased risk in glioma incidence that is both patient age- and radiation dose/volume-dependent. Data in adults are more limited but show heightened risk in certain groups exposed to radiation. In both populations, there is no statistically increased risk associated with routine exposure to diagnostic radiation. At the molecular level, there are conflicting data concerning whether distinct genetic differences between radiation-induced gliomas and their spontaneously occurring counterparts exist. Clinically, there is understandable reluctance on the part of clinicians to re-treat patients owing to concern for cumulative neurotoxicity. However, available data suggest that aggressive intervention can lead to improved outcomes in patients with radiation-induced gliomas.

journal_name

Expert Rev Neurother

authors

Prasad G,Haas-Kogan DA

doi

10.1002/pmic.200800802

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

1511-7

issue

10

eissn

1473-7175

issn

1744-8360

journal_volume

9

pub_type

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