Clinical characteristics and survival of glioblastoma complicated with non-central nervous system tumors.

Chen Wang, Di Wang, Changqing Pan, Jiazheng Zhang, Cheng Cheng, You Zhai, Mingchen Yu, Zhiliang Wang, Guanzhang Li, Wei Zhang
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Abstract

Background: Diagnosis and treatment of patients with glioblastoma (GBM) who are also diagnosed with primary non-central nervous system (CNS) tumors remain a challenge, yet little is known about the clinical characteristics and prognosis of these patients. The data presented here compared the clinical and pathological features between glioblastoma patients with or without primary non-CNS tumors, trying to further explore this complex situation.

Methods: Statistical analysis was based on the clinical and pathological data of 45 patients who were diagnosed with isocitrate dehydrogenase (IDH) wild-type glioblastoma accompanied by non-CNS tumors between January 2019 and February 2022 in Beijing Tiantan Hospital. Univariate COX proportional hazard regression model was used to determine risk factors for overall survival.

Results: It turned out to be no significant difference in the overall survival (OS) of the 45 patients with IDH-wild-type GBM plus non-CNS tumors, compared with the 112 patients who were only diagnosed with IDH-wild-type GBM. However, there was a significant difference in OS of GBM patients with benign tumors compared to those with malignant tumors.

Conclusions: Implications for the non-central nervous system tumors on survival of glioblastomas were not found in this research. However, glioblastomas complicated with other malignant tumors still showed worse clinical outcomes.

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胶质母细胞瘤合并非中枢神经系统肿瘤的临床特点及生存率。
背景:胶质母细胞瘤(GBM)合并原发性非中枢神经系统(CNS)肿瘤的诊断和治疗仍然是一个挑战,但对这些患者的临床特征和预后知之甚少。本文的数据比较了胶质母细胞瘤合并或不合并原发性非中枢神经系统肿瘤患者的临床和病理特征,试图进一步探讨这一复杂的情况。方法:对2019年1月至2022年2月北京天坛医院诊断为异橼酸脱氢酶(IDH)野生型胶质母细胞瘤合并非中枢神经系统肿瘤的45例患者的临床和病理资料进行统计分析。采用单因素COX比例风险回归模型确定影响总生存的危险因素。结果:45例idh -野生型GBM合并非中枢神经系统肿瘤患者与112例仅诊断为idh -野生型GBM患者的总生存期(OS)无显著差异。然而,良性肿瘤患者的OS与恶性肿瘤患者的OS有显著差异。结论:本研究未发现非中枢神经系统肿瘤对胶质母细胞瘤存活的影响。然而,胶质母细胞瘤合并其他恶性肿瘤仍表现出较差的临床预后。
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CiteScore
2.70
自引率
0.00%
发文量
224
审稿时长
10 weeks
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