Diagnosis and Evaluation


Neurology. 2004 Aug 10;63(3):535-7. (Clinical Study)


Abstract

Immediate post-radiotherapy changes in malignant glioma can mimic tumor progression

De Wit MC, De Bruin HG, Eijkenboom W, Sillevis Smitt PA, Van Den Bent MJ.

Department of Neuro-oncology/Neurology, Daniel den Hoed Cancer Center/Erasmus Medical Center, PO Box 5201, 3008 AE Rotterdam, The Netherlands. m.vandenbent@erasmusmc.nl

To determine the frequency of progressive MRI lesions shortly after radiotherapy for glioma with spontaneous improvement or stabilization, the authors studied a cohort of patients treated within two prospective phase III trials with radiotherapy only. 
In 9 out of 32 patients, the first post-radiotherapy MRI showed progressive enhancement. 
In 3 of these 9 the MRI improved or stabilized for 6 months without additional treatment. 
The authors conclude that patients with progressive lesions within 3 months after radiotherapy should not be eligible for phase II trials on recurrent glioma.

PMID: 15304589 [PubMed - in process]

Source: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15304589



 

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