Yıl: 2022 Cilt: 12 Sayı: 3 Sayfa Aralığı: 474 - 481 Metin Dili: Türkçe DOI: 10.31832/smj.1109168 İndeks Tarihi: 05-10-2022

Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi

Öz:
Amaç Bu calışmanın amacı, diffüz intrinsik pontin gliomalı (DIPG) tanısı alan ve tedavi edilen hastalarımızın klinik bulguları ile tedavi sonuçlarını değerlendirmektir. Hasta ve yöntemler Ondokuz Mayıs Üniversitesi Tıp Fakültesi Çocuk Hastanesinde, 2000 ile 2016 yılları arasında DIPG tanısı konan çocukların klinik verilerini geriye dönük olarak analiz ettik. Tanımlayıcı istatistikler ve sağkalım (OS) analizleri yapıldı. Bulgular Çalışmaya 21 çocuk dahil edildi; 13’ü erkek, 8’i kız olan hastaların ortanca tanı yaşı 9,4 yıl (2,9-15,7 yıl) idi. Tüm hastalar radyoterapi ve kemoterapi alırken 2010 yılından itibaren nimotuzumab ve vinorelbine tedavisi de uygulandı (6 hasta). Ortanca sağkalım süresi 15,8 ay (6-262 ay) idi; bu rakam 1. yıl, 18. ay, 24. ay ve 5. yılda sırasıyla %81, %33,3, %23,8 ve %9,5 olarak hesaplandı. Nimotuzumab alanların 2 yıllık sağkalımı %33,3 (SE: %19,2) iken almayanların %20 ( SE: %10,3) idi (p: 0,78). Ortanca sağkalım Nimotuzumab alanlarda 17,9 ay (5,8-85,1 ay) almayanlarda ise 15,8 ay (9,3-262,1 ay) idi (p: 0,808). Sonuç Beyin sapı gliomlarında halen yaşam oranları düşüktür ve radyoterapi asıl ve etkin tedavi seçeneği olmaya devam etmektedir. Bununla birlikte, moleküler genetiğinin daha iyi anlaşılması, umut verici preklinik modeller ve kan beyin bariyerini aşan yeni tekniklerin sağkalım üzerine olumlu katkısı beklenmektedir.
Anahtar Kelime: Diffüz intrinsik pontin glioma Nimotuzumab Radyoterapi Prognoz

Diffuse Intrinsic Pons Glioma in Children: A Single Center Experience

Öz:
Aim The aim of this study is to evaluate the clinical findings and treatment outcomes of our patients with diffuse intrinsic pontine glioma (DIPG). Patient and methods We retrospectively analyzed the clinical data of children with DIPG at Ondokuz Mayıs University Faculty of Medicine Children's Hospital between 2000 and 2016. Descriptive statistics and survival analyses were used to evaluate data. Results Twenty one children were included in the study; the median age of diagnosis was 9.4 years (2.9-15.7 years) and 13 were boys and 8 were girls. While all patients received radiotherapy and chemotherapy, nimotuzumab and vinorelbine treatment were also given since 2010 (6 patients). The median survival time was 15.8 months (6-262 months); survival rates were 81%, 33.3%, 23.8% and 9.5% at the 1st year, 18th month, 24th month and 5th year, respectively. The 2-year survival rate for those who received nimotuzumab was 33.3%, while it was 20% for those who did not (p: 0.78). The median survival was 17.9 months (5.8-85.1 months) in those who received nimotuzumab and 15.8 months (9.3-262.1 months) in those who did not (p: 0.808). Conclusion Survival rates are still low in brain stem gliomas and radiotherapy remains the main and effective treatment option. However, a better understanding of its molecular genetics, promising preclinical models, and new techniques that cross the blood-brain barrier are expected to contribute positively to survival.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Kartal İ, Dağdemir A, dinçer o, GÜRSEL S, Ceyhan Bilgici M (2022). Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. , 474 - 481. 10.31832/smj.1109168
Chicago Kartal İbrahim,Dağdemir Ayhan,dinçer oğuz salih,GÜRSEL SÜKRIYE BILGE,Ceyhan Bilgici Meltem Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. (2022): 474 - 481. 10.31832/smj.1109168
MLA Kartal İbrahim,Dağdemir Ayhan,dinçer oğuz salih,GÜRSEL SÜKRIYE BILGE,Ceyhan Bilgici Meltem Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. , 2022, ss.474 - 481. 10.31832/smj.1109168
AMA Kartal İ,Dağdemir A,dinçer o,GÜRSEL S,Ceyhan Bilgici M Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. . 2022; 474 - 481. 10.31832/smj.1109168
Vancouver Kartal İ,Dağdemir A,dinçer o,GÜRSEL S,Ceyhan Bilgici M Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. . 2022; 474 - 481. 10.31832/smj.1109168
IEEE Kartal İ,Dağdemir A,dinçer o,GÜRSEL S,Ceyhan Bilgici M "Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi." , ss.474 - 481, 2022. 10.31832/smj.1109168
ISNAD Kartal, İbrahim vd. "Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi". (2022), 474-481. https://doi.org/10.31832/smj.1109168
APA Kartal İ, Dağdemir A, dinçer o, GÜRSEL S, Ceyhan Bilgici M (2022). Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. Sakarya Tıp Dergisi, 12(3), 474 - 481. 10.31832/smj.1109168
Chicago Kartal İbrahim,Dağdemir Ayhan,dinçer oğuz salih,GÜRSEL SÜKRIYE BILGE,Ceyhan Bilgici Meltem Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. Sakarya Tıp Dergisi 12, no.3 (2022): 474 - 481. 10.31832/smj.1109168
MLA Kartal İbrahim,Dağdemir Ayhan,dinçer oğuz salih,GÜRSEL SÜKRIYE BILGE,Ceyhan Bilgici Meltem Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. Sakarya Tıp Dergisi, vol.12, no.3, 2022, ss.474 - 481. 10.31832/smj.1109168
AMA Kartal İ,Dağdemir A,dinçer o,GÜRSEL S,Ceyhan Bilgici M Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. Sakarya Tıp Dergisi. 2022; 12(3): 474 - 481. 10.31832/smj.1109168
Vancouver Kartal İ,Dağdemir A,dinçer o,GÜRSEL S,Ceyhan Bilgici M Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi. Sakarya Tıp Dergisi. 2022; 12(3): 474 - 481. 10.31832/smj.1109168
IEEE Kartal İ,Dağdemir A,dinçer o,GÜRSEL S,Ceyhan Bilgici M "Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi." Sakarya Tıp Dergisi, 12, ss.474 - 481, 2022. 10.31832/smj.1109168
ISNAD Kartal, İbrahim vd. "Çocuklarda Diffüz İntrinsik Pons Gliomu: Tek Merkez Deneyimi". Sakarya Tıp Dergisi 12/3 (2022), 474-481. https://doi.org/10.31832/smj.1109168