Prognostic limitations of the Daumas-Duport grading scheme in childhood supratentorial astroglial tumors.

Abstract:

:The Daumas-Duport grading scheme (DDGS) is a commonly used method for determining the grade of a tumor. It scores 4 histologic features and is used as a prognostic tool in adult astroglial tumors. This system of assigning children to prognostically homogeneous groups has not been evaluated. The Childhood Brain Tumor Consortium (CBTC) database includes 327 children with a CBTC assigned World Health Organization (WHO) diagnosis of supratentorial astroglial tumor and histologic features necessary for Daumas-Duport grading. We compared survival estimates for tumors within and between DDGS grades using a slightly broadened definition of endothelial prominence. The DDGS yielded only 3 histologic groups in children and only 2 prognostically differing groups. Subgroups within DDGS grades had significantly different survival distributions. The summing of 4 disparate histologic features in the DDGS is inadequate for the assessment of childhood supratentorial astroglial tumors. A classification system more fully summarizing the complete histologic content of tumors is most likely to provide diagnoses useful for clinical purposes.

authors

Brown WD,Gilles FH,Tavaré CJ,Rorke LB,Davis RL,Adelman L,Hedley-Whyte ET,Leviton A

doi

10.1097/00005072-199811000-00006

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

1035-40

issue

11

eissn

0022-3069

issn

1554-6578

journal_volume

57

pub_type

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