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pubmed, google, scholar, article, idh, cas, gliomas, cancer, central, van, grade, prognostic, mutations, mutation, glioma, clin, tumors, molecular, anaplastic, aldape, oncol, survival, lowgrade, center, mitotic, diffuse, outcome, wang, classification, university, status, deimling, pathol, doijco, friedman, usa, acta, index, tumor, patients, oligodendroglioma, dois, reifenberger, neuropathol, analysis, wesseling, astrocytomas, zhang, bent, material,

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month download article/chapter idh-wild type tumors elizabeth vera-bolanos idh-wild type subset grade ii–iii gliomas van den bent low-grade diffuse gliomas diffuse low-grade gliomas idh-mutant [hazard ratio bauke ylstra & pieter wesseling central nervous system health/national cancer institute idh wild-type intermediate-grade infiltrating astrocytomas proliferation markers ki-67/mib-1 hemispheric low-grade gliomas low-grade hemispheric gliomas secondary high-grade gliomas supratentorial low-grade glioma cerebral low-grade glioma neuropathology-haarlem consensus guidelines van den berg van essen hf phase iii trial grade ii astrocytomas full article pdf grade ii gliomas ontario cancer institute related subjects mgmt promoter status idh mutation status academic medical center human glioblastoma multiforme newly diagnosed glioblastoma den dunnen wf privacy choices/manage cookies idh-mutant tumors idh-mutant cohort van der valk human anaplastic astrocytomas quantitative microsatellite analysis integrated genomic analysis lower-grade gliomas low-grade astrocytomas idh1 mutant glioblastoma low-grade gliomas lower-grade glioma single-center experience idh mutation leads idh mutation identifies

Questions {❓}

• Hartmann C, Hentschel B, Tatagiba M, Schramm J, Schnell O, Seidel C, Stein R, Reifenberger G, Pietsch T, von Deimling A, Loeffler M, Weller M (2011) Molecular markers in low-grade gliomas: predictive or prognostic?

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         headline:IDH mutation status and role of WHO grade and mitotic index in overall survival in grade II–III diffuse gliomas
         description:Diffuse gliomas are up till now graded based upon morphology. Recent findings indicate that isocitrate dehydrogenase (IDH) mutation status defines biologically distinct groups of tumors. The role of tumor grade and mitotic index in patient outcome has not been evaluated following stratification by IDH mutation status. To address this, we interrogated 558 WHO grade II–III diffuse gliomas for IDH1/2 mutations and investigated the prognostic impact of WHO grade within IDH-mutant and IDH-wild type tumor subsets independently. The prognostic impact of grade was modest in IDH-mutant [hazard ratio (HR) = 1.21, 95 % confidence interval (CI) = 0.91–1.61] compared to IDH-wild type tumors (HR = 1.74, 95 % CI = 0.95–3.16). Using a dichotomized mitotic index cut-off of 4/1000 tumor cells, we found that while mitotic index was significantly associated with outcome in IDH-wild type tumors (log-rank p < 0.0001, HR = 4.41, 95 % CI = 2.55–7.63), it was not associated with outcome in IDH-mutant tumors (log-rank p = 0.5157, HR = 1.10, 95 % CI = 0.80–1.51), and could demonstrate a statistical interaction (p < 0.0001) between IDH mutation and mitotic index (i.e., suggesting that the effect of mitotic index on patient outcome is dependent on IDH mutation status). Patient age, an established prognostic factor in diffuse glioma, was significantly associated with outcome only in the IDH-wild type subset, and consistent with prior data, 1p/19q co-deletion conferred improved outcome in the IDH-mutant cohort. These findings suggest that stratification of grade II–III gliomas into subsets defined by the presence or absence of IDH mutation leads to subgroups with distinct prognostic characteristics. Further evaluation of grading criteria and prognostic markers is warranted within IDH-mutant versus IDH-wild type diffuse grade II–III gliomas as independent entities.
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            name:VU University Medical Center
            address:
               name:Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
               type:PostalAddress
            type:Organization
      name:Mark R. Gilbert
      affiliation:
            name:The University of Texas MD Anderson Cancer Center
            address:
               name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
               type:PostalAddress
            type:Organization
      name:Terri S. Armstrong
      affiliation:
            name:The University of Texas MD Anderson Cancer Center
            address:
               name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
               type:PostalAddress
            type:Organization
            name:The University of Texas Health Science Center
            address:
               name:The University of Texas Health Science Center, Houston, USA
               type:PostalAddress
            type:Organization
      name:Erik P. Sulman
      affiliation:
            name:The University of Texas MD Anderson Cancer Center
            address:
               name:Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
               type:PostalAddress
            type:Organization
      name:Daniel P. Cahill
      affiliation:
            name:Massachusetts General Hospital
            address:
               name:Department of Neurosurgery, Massachusetts General Hospital, Boston, USA
               type:PostalAddress
            type:Organization
      name:Elizabeth Vera-Bolanos
      affiliation:
            name:The University of Texas MD Anderson Cancer Center
            address:
               name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
               type:PostalAddress
            type:Organization
            name:Horizon Health
            address:
               name:Horizon Health, Lewisville, USA
               type:PostalAddress
            type:Organization
      name:Ying Yuan
      affiliation:
            name:The University of Texas MD Anderson Cancer Center
            address:
               name:Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, USA
               type:PostalAddress
            type:Organization
      name:Jaap C. Reijneveld
      affiliation:
            name:VU University Medical Center
            address:
               name:Department of Neurology, VU University Medical Center, Amsterdam, The Netherlands
               type:PostalAddress
            type:Organization
      name:Bauke Ylstra
      affiliation:
            name:VU University Medical Center
            address:
               name:Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
               type:PostalAddress
            type:Organization
      name:Pieter Wesseling
      affiliation:
            name:VU University Medical Center
            address:
               name:Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
               type:PostalAddress
            type:Organization
            name:Radboud University Medical Center
            address:
               name:Department of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands
               type:PostalAddress
            type:Organization
      name:Kenneth D. Aldape
      affiliation:
            name:The University of Texas MD Anderson Cancer Center
            address:
               name:Department of Pathology, G1.3510, The University of Texas MD Anderson Cancer Center, Houston, USA
               type:PostalAddress
            type:Organization
            name:Princess Margaret Cancer Centre and Ontario Cancer Institute
            address:
               name:Princess Margaret Cancer Centre and Ontario Cancer Institute, Toronto, Canada
               type:PostalAddress
            type:Organization
      email:[email protected]
PostalAddress:
      name:Department of Pathology, G1.3510, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Department of Pathology, G1.3510, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Baylor College of Medicine, Houston, USA
      name:Department of Neurology, VU University Medical Center, Amsterdam, The Netherlands
      name:Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
      name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:The University of Texas Health Science Center, Houston, USA
      name:Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Department of Neurosurgery, Massachusetts General Hospital, Boston, USA
      name:Department of Neuro-Oncology, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Horizon Health, Lewisville, USA
      name:Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Department of Neurology, VU University Medical Center, Amsterdam, The Netherlands
      name:Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
      name:Department of Pathology, VU University Medical Center, Amsterdam, The Netherlands
      name:Department of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands
      name:Department of Pathology, G1.3510, The University of Texas MD Anderson Cancer Center, Houston, USA
      name:Princess Margaret Cancer Centre and Ontario Cancer Institute, Toronto, Canada
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