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- W3088309241 endingPage "1048" @default.
- W3088309241 startingPage "1037" @default.
- W3088309241 abstract "Introduction The incidence of gliomas is increasing in elderly patients. Clinical factors, such as age, performance status, and comorbidities contribute when choosing adequate treatment in older patients.Areas covered This review covers the main pathological and molecular features of gliomas in elderly patients, as well as the neurological and geriatric assessment to select patients for surgery and antineoplastic treatments. The results from the most relevant clinical trials in both lower-grade (LGGs) and high-grade gliomas (HGGs) are reviewed.Expert opinion Different clinical and biological factors need to be integrated into prognostic scales in order to better stratify the elderly population. Both Stupp and Perry regimens can be proposed to fit patients with GBM aged < 70 years. Conversely, for patients aged ≥ 70 years, the Perry regimen should be preferred. For unfit and frail patients, temozolomide alone when MGMT is methylated or hypofractionated RT alone when MGMT is unmethylated, are the optimal choice. Few data are available regarding the optimal management of elderly patients with LGGs. The benefit of an extensive resection and presence of methylation of the MGMT promoter need to be further investigated to confirm their role in improving the OS." @default.
- W3088309241 created "2020-10-01" @default.
- W3088309241 creator A5049194857 @default.
- W3088309241 creator A5079681608 @default.
- W3088309241 creator A5082016746 @default.
- W3088309241 creator A5089715484 @default.
- W3088309241 creator A5090731176 @default.
- W3088309241 date "2020-10-08" @default.
- W3088309241 modified "2023-10-14" @default.
- W3088309241 title "Current clinical management of elderly patients with glioma" @default.
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