Radiocirurgia no glioblastoma: uma revisão da literatura
Resumo
O manejo de gliomas de alto grau, particularmente o glioblastoma, continua sendo um desafio apesar dos avanços na terapia de radiação e cirurgia. O cuidado padrão envolve a ressecção cirúrgica máxima, seguida de radioterapia e quimioterapia com Temozolomida. A Radiocirurgia Estereotáxica com Gamma Knife (GKRS) surgiu como uma opção não invasiva e eficaz para tratar
uma variedade de lesões do sistema nervoso central. A GKRS oferece uma entrega precisa de radiação de baixa energia a um alvo definido, induzindo a destruição do tecido enquanto preserva o tecido cerebral saudável. Embora efeitos secundários como necrose por radiação tenham sido observados, a GKRS mostra promessas no tratamento do glioblastoma, mesmo com sua natureza
infiltrativa. Esta revisão explora o panorama evolutivo do manejo de gliomas de alto grau, com foco no potencial da GKRS para melhorar os resultados do tratamento.
Downloads
Referências
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
Copyright (c) 2024 Revista Med
Este trabalho está licenciado sob uma licença Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.