Radiocirugía en glioblastoma: una revisión de la literatura
Resumen
El manejo de gliomas de alto grado, particularmente el glioblastoma, sigue siendo desafiante a pesar de los avances en la terapia de radiación y la cirugía. El cuidado estándar implica una resección quirúrgica máxima, seguida de radioterapia y quimioterapia con Temozolomida. La Radiocirugía Estereotáctica con Gamma Knife (GKRS) ha surgido como una opción no invasiva y efectiva para tratar una variedad de lesiones del sistema nervioso central. La GKRS ofrece una entrega precisa de radiación de baja energía a un objetivo definido, induciendo la destrucción del tejido mientras preserva el tejido cerebral sano. Aunque se han observado efectos secundarios como la necrosis por radiación, la GKRS muestra promesas en el tratamiento del glioblastoma, incluso con su naturaleza infiltrativa. Esta revisión explora el panorama evolutivo del manejo de gliomas de alto grado, centrándose en el potencial de la GKRS para mejorar los resultados del tratamiento.
Descargas
Referencias bibliográficas
Hart MG, Grant GRL, Solyom EF, Grant R. Biopsy versus resection for high-grade glioma. Cochrane Database of Systematic Reviews. 2019;2019(6). https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD002034.pub2/full
Perlow HK, Prasad RN, Yang M, et al. Accelerated hypofractionated radiation for elderly or frail patients with a newly diagnosed glioblastoma: A pooled analysis of patient-level data from 4 prospective trials. Cancer. 2022;128(12):2367-2374. https://acsjournals.onlinelibrary.wiley.com/doi/10.1002/cncr.34192
Hanif F, Muzaffar K, Perveen K, Malhi SM, Simjee SU. Glioblastoma Multiforme: A Review of its Epidemiology and Pathogenesis through Clinical Presentation and Treatment. Asian Pac J Cancer Prev. 2017;18(1):3-9. https://journal.waocp.org/article_42593.html
Wrensch M, Minn Y, Chew T, Bondy M, Berger MS. Epidemiology of primary brain tumors: current concepts and review of the literature. Neuro Oncol. 2002 Oct;4(4):278–99.
National Cancer Institute. Glioblastoma Multiforme Study.
Batchelor T, Shih HA. Management of glioblastoma in older adults. UpToDate. Published online August 15, 2023.
Rigamonti A, Simonetti G, Silvani A, et al. Adult brainstem glioma: a multicentre retrospective analysis of 47 Italian patients. Neurological Sciences. 2021;42(5):1879-1886. https://link.springer.com/article/10.1007/s10072-020-04725-7
Omuro A, Beal K, Gutin P, et al. Phase II study of bevacizumab, temozolomide, and hypofractionated stereotactic radiotherapy for newly diagnosed glioblastoma. Clinical Cancer Research. 2014;20(19):5023-5031. https://aacrjournals.org/clincancerres/article/20/19/5023/208813/Phase-II-Study-of-Bevacizumab-Temozolomide-and
Guan Y, Xiong J, Pan M, et al. Safety and efficacy of Hypofractionated stereotactic radiosurgery for high-grade Gliomas at first recurrence: a single-center experience. BMC Cancer. 2021;21(1):123. https://bmccancer.biomedcentral.com/articles/10.1186/s12885-021-07856-y
Strickland BA, Zada G. 5-ALA Enhanced Fluorescence−Guided Microscopic to Endoscopic Resection of Deep Frontal Subcortical Glioblastoma Multiforme. World Neurosurg. 2021;148:65. https://linkinghub.elsevier.com/retrieve/pii/S1878875021000127
Vogelbaum MA, Kroll D, Etame A, et al. A Prospective Validation Study of the First 3D Digital Exoscope for Visualization of 5-ALA–Induced Fluorescence in High-Grade Gliomas. World Neurosurg. 2021;149:e498-e503.https://www.sciencedirect.com/science/article/abs/pii/S1878875021001789?via%3Dihub
Waqar M, Roncaroli F, Djoukhadar I, et al. Study protocol: PreOperative Brain Irradiation in Glioblastoma (POBIG) - A phase I trial. Clin Transl Radiat Oncol. 2023;39:100585. https://linkinghub.elsevier.com/retrieve/pii/S1878875021001789
Omuro A, DeAngelis LM. Glioblastoma and other malignant gliomas: a clinical review. JAMA. 2013;310(17):1842-1850.https://jamanetwork.com/journals/jama/article-abstract/1764056
Amelio D, Amichetti M. Radiation therapy for the treatment of recurrent glioblastoma: an overview. Cancers (Basel). 2012;4(1):257-280. https://www.mdpi.com/2072-6694/4/1/257
Lehrer EJ, Ruiz-Garcia H, Nehlsen AD, et al. Preoperative Stereotactic Radiosurgery for Glioblastoma. Biology (Basel). 2022;11(2):194. https://www.mdpi.com/2079-7737/11/2/194
Sulman EP, Ismaila N, Armstrong TS, et al. Radiation Therapy for Glioblastoma: American Society of Clinical Oncology Clinical Practice Guideline Endorsement of the American Society for Radiation Oncology Guideline. J Clin Oncol. 2017;35(3):361-369.https://www.mdpi.com/2079-7737/11/2/194
Chargari C, Magne N, Guy JB, et al. Optimize and refine therapeutic index in radiation therapy: Overview of a century. Cancer Treat Rev. 2016;45:58-67. https://linkinghub.elsevier.com/retrieve/pii/S0305737216000335
Waqar M, Trifiletti DM, McBain C, et al. Early Therapeutic Interventions for Newly Diagnosed Glioblastoma: Rationale and Review of the Literature. Curr Oncol Rep. 2022;24(3):311-324. https://link.springer.com/article/10.1007/s11912-021-01157-0
Clarke J, Neil E, Terziev R, et al. Multicenter, Phase 1, Dose Escalation Study of Hypofractionated Stereotactic Radiation Therapy With Bevacizumab for Recurrent Glioblastoma and Anaplastic Astrocytoma. Int J Radiat Oncol Biol Phys. 2017;99(4):797-804.https://linkinghub.elsevier.com/retrieve/pii/S0360301617335496
Minniti G, Niyazi M, Alongi F, Navarria P, Belka C. Current status and recent advances in reirradiation of glioblastoma. Radiat Oncol. 2021;16(1):36. https://ro-journal.biomedcentral.com/articles/10.1186/s13014-021-01767-9
Mantica M, Drappatz J, Lieberman F, Hadjipanayis CG, Lunsford LD, Niranjan A. Phase II study of border zone stereotactic radiosurgery with bevacizumab in patients with recurrent or progressive glioblastoma multiforme. J Neurooncol. 2023;164(1):179-190. https://link.springer.com/article/10.1007/s11060-023-04398-0
Kulinich DP, Sheppard JP, Nguyen T, et al. Radiotherapy versus combination radiotherapy-bevacizumab for the treatment of recurrent high-grade glioma: a systematic review. Acta Neurochir (Wien). 2021;163(7):1921-1934.https://link.springer.com/article/10.1007/s00701-021-04794-3
Omuro A, Beal K, Gutin P, et al. Phase II Study of Bevacizumab, Temozolomide, and Hypofractionated Stereotactic Radiotherapy for Newly Diagnosed Glioblastoma. Clinical Cancer Research. 2014;20(19):5023-5031. https://aacrjournals.org/clincancerres/article/20/19/5023/208813/Phase-II-Study-of-Bevacizumab-Temozolomide-and
Derechos de autor 2024 Revista Med

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.