Złośliwy guz mózgu (rak mózgu)
Rokowania, prognozy i postęp choroby

Złośliwe guzy mózgu, w tym glejak wielopostaciowy (GBM), charakteryzują się bardzo niekorzystnym rokowaniem, z 5-letnim względnym wskaźnikiem przeżycia wynoszącym odpowiednio 35,7% dla wszystkich złośliwych guzów mózgu oraz zaledwie 6,9% dla GBM. Mediana przeżycia pacjentów z GBM wynosi 12-18 miesięcy, a dla astrocytomów stopnia 4 około 1 roku. Czynniki prognostyczne obejmują typ histologiczny i stopień złośliwości guza, lokalizację, wiek pacjenta (np. 5-letni wskaźnik przeżycia dla GBM wynosi 19,5% u dzieci 0-14 lat, 27,3% u młodych dorosłych 15-39 lat i 5,6% u dorosłych powyżej 40 lat), stan ogólny, możliwość całkowitej resekcji oraz profil genetyczny, w tym metylację promotora MGMT i mutacje IDH. Lokalizacja guza wpływa na możliwość resekcji i rokowanie, a wskaźnik deformacji struktur mózgu (Hd95) dostarcza dodatkowych informacji prognostycznych.

Wprowadzenie do rokowania w złośliwych guzach mózgu

Złośliwy guz mózgu (rak mózgu) stanowi jedno z najbardziej agresywnych schorzeń onkologicznych układu nerwowego. Rokowanie w przypadku tych nowotworów jest uwarunkowane wieloma czynnikami, a przewidywanie przebiegu choroby stanowi istotny element planowania terapii. Należy pamiętać, że prognoza jest jedynie oszacowaniem bazującym na danych pochodzących z grup pacjentów z podobnym schorzeniem i nie może być traktowana jako jednoznaczna przepowiednia indywidualnego przebiegu choroby konkretnego pacjenta.123

Według danych statystycznych, ogólny względny wskaźnik przeżycia 5-letniego dla wszystkich pacjentów ze złośliwym guzem mózgu wynosi około 35,7%. Wskaźnik ten znacząco różni się w zależności od typu nowotworu. Dla glejaka wielopostaciowego (glioblastoma), będącego najczęstszą postacią pierwotnego złośliwego guza mózgu u dorosłych, 5-letni względny wskaźnik przeżycia wynosi zaledwie 6,9%, a mediana przeżycia to tylko 8 miesięcy.45

Czynniki wpływające na rokowanie

Rokowanie w przypadku złośliwych guzów mózgu jest determinowane przez szereg czynników, które lekarze biorą pod uwagę podczas oceny indywidualnego przypadku:67

  • Typ histologiczny guza – różne typy guzów mózgu charakteryzują się odmienną biologią i tempem wzrostu
  • Stopień złośliwości (grade) – guzy niższego stopnia mają generalnie lepsze rokowanie niż te wysokiego stopnia
  • Lokalizacja guza – umiejscowienie nowotworu w mózgu wpływa na możliwość jego resekcji i potencjalne uszkodzenia sąsiednich struktur
  • Wiek pacjenta – osoby poniżej 65 roku życia mają zazwyczaj lepsze rokowanie
  • Stan ogólny pacjenta – lepszy stan sprawności (performance status) i status neurologiczny korelują z korzystniejszym rokowaniem
  • Możliwość chirurgicznego usunięcia guza – całkowita resekcja daje lepsze rokowanie niż częściowe usunięcie lub brak możliwości resekcji
  • Profil genetyczny guza – specyficzne mutacje i markery molekularne

89

Znaczenie wieku pacjenta

Wiek ma istotny wpływ na rokowanie w złośliwych guzach mózgu. 5-letni względny wskaźnik przeżycia dla glejaka wielopostaciowego różni się znacząco w zależności od grupy wiekowej:10

  • Dzieci (0-14 lat): 19,5%
  • Młodzi dorośli (15-39 lat): 27,3%
  • Dorośli (powyżej 40 lat): 5,6%

10

Ogólnie, dla pacjentów powyżej 40 roku życia, 5-letni wskaźnik przeżycia wynosi 21% dla guzów złośliwych, w porównaniu do 90,3% dla guzów niezłośliwych. Osoby starsze (65+) charakteryzują się zwykle niższymi wskaźnikami przeżycia.1112

Wpływ stopnia złośliwości guza

Stopień złośliwości guza (grade) jest jednym z najważniejszych czynników prognostycznych. Guzy o niższym stopniu złośliwości (grade 1-2) mają znacznie lepsze rokowanie niż guzy wysokiego stopnia (grade 3-4). Przykładowo, anaplastyczny lub złośliwy oponiak (grade 3) wiąże się z medianą przeżycia poniżej 2 lat.13

W przypadku astrocytomów, które stanowią różnorodną grupę guzów o odmiennym stopniu złośliwości, rokowanie znacząco się różni. Gwiaździaki pilocytyczne (grade 1), najczęstsze pierwotne guzy OUN u dzieci w wieku 5-14 lat, charakteryzują się 10-letnim przeżyciem przekraczającym 90%, szczególnie gdy możliwa jest całkowita resekcja. Natomiast dla astrocytomów grade 4 (glejak wielopostaciowy), 2-letnie przeżycie wolne od progresji wynosi zaledwie 10%.14

Znaczenie markerów molekularnych

Profil genetyczny guza ma coraz większe znaczenie w określaniu rokowania. Szczególnie istotne są:1516

  • Metylacja promotora genu MGMT (O6-metyloguanino-DNA metylotransferazy) – związana z poprawą wyników leczenia astrocytomów, dłuższym przeżyciem i zmniejszeniem rozmiaru guza w trakcie terapii
  • Mutacje IDH (izocytrynianu dehydrogenazy) – obecność tych mutacji w wysokozłośliwych astrocytomach ma kluczowe znaczenie dla rokowania; gwiaździaki anaplastyczne typu dzikiego IDH zwykle wykazują gorsze rokowanie niż glejaki wielopostaciowe z mutacją IDH

171819

Lokalizacja guza i jej wpływ na rokowanie

Lokalizacja nowotworu w mózgu stanowi istotny czynnik prognostyczny. Guzy położone w miejscach trudno dostępnych chirurgicznie, gdzie kompletna resekcja nie jest możliwa, wiążą się z gorszym rokowaniem. Najnowsze badania wskazują, że stopień deformacji poszczególnych struktur mózgu (mierzony wskaźnikiem Hd95) zawiera bogatsze informacje prognostyczne dotyczące całkowitego przeżycia niż sama lokalizacja guza.2021

Badania wykazały, że model prognostyczny łączący cechy morfologiczne guza z klasycznymi klinicznymi czynnikami prognostycznymi zapewnia najlepszą predykcję całkowitego przeżycia pacjentów z glejakiem wielopostaciowym.22

Rokowanie w poszczególnych typach złośliwych guzów mózgu

Glejak wielopostaciowy (glioblastoma)

Glejak wielopostaciowy (GBM) jest najczęstszym typem pierwotnego złośliwego guza mózgu u dorosłych, stanowiąc około 65% wszystkich astrocytomów. Jest także najbardziej agresywną i śmiertelną formą raka mózgu.2324

Średni czas przeżycia pacjentów z glejakiem wielopostaciowym wynosi zaledwie 12-18 miesięcy. Tylko 25% pacjentów przeżywa ponad rok, a zaledwie 5% przeżywa ponad pięć lat. Mniej niż 1% wszystkich pacjentów z glejakiem wielopostaciowym żyje dłużej niż dziesięć lat, co czyni ten typ nowotworu w większości przypadków śmiertelnym.2526

Mediana przeżycia całkowitego przy standardowym leczeniu wynosi mniej niż 15 miesięcy, a 5-letni wskaźnik przeżycia całkowitego wynosi tylko 10%, nawet przy agresywnym leczeniu.2728

Astrocytoma stopnia 4

Według najnowszych danych z 2023 roku, astrocytoma stopnia 4 wiąże się z szacowanym czasem przeżycia około 1 roku.29

Rozlany glejak śródlinii

Względny 5-letni wskaźnik przeżycia dla pacjentów z rozlanym glejakiem śródlinii (diffuse midline glioma) wynosi około 42,2%. W przeglądzie 27 badań obejmujących 135 pacjentów, mediana całkowitego przeżycia wynosiła 17,3 miesiąca.30

Nowoczesne metody predykcji przeżycia

Rozwój zaawansowanych technologii obrazowania i analizy danych otwiera nowe możliwości w prognozowaniu przebiegu choroby u pacjentów z guzami mózgu. Tradycyjne metody prognostyczne oparte jedynie na informacjach klinicznych i demograficznych często nie są wystarczająco dokładne.31

Wykorzystanie sztucznej inteligencji

Metody głębokiego uczenia (deep learning) wykazują obiecujące wyniki w przewidywaniu rokowania pacjentów z glejakami wysokiego stopnia. Wykorzystanie multimodalnych danych neuroobrazowania (MRI) uzyskanych przed operacją pozwala na stworzenie dokładniejszych modeli prognostycznych.32

Framework oparty na nadzorowanych sieciach neuronowych (CNN) wykazuje przewagę nad tradycyjnymi metodami wykorzystującymi ręcznie tworzone cechy. Metody te mogą działać efektywnie nawet na małych zbiorach danych i są niezależne od parametrów skanera oraz obrazowania.3334

Wpływ leczenia na rokowanie

Standardowe leczenie złośliwych guzów mózgu, a w szczególności glejaka wielopostaciowego, obejmuje zabieg chirurgiczny mający na celu usunięcie jak największej części guza, a następnie radioterapię i chemioterapię. Takie podejście terapeutyczne może pomóc wydłużyć czas przeżycia i poprawić jakość życia pacjentów, jednak w większości przypadków nowotwór powraca i postępuje mimo leczenia.35

Badania wykazały istotną korzyść w zakresie przeżycia przy zastosowaniu napromieniania całego mózgu (WBRT) w dawce 5000-6000 rad w połączeniu z chirurgiczną resekcją złośliwych glejaków, w porównaniu do samej resekcji chirurgicznej.36

Oceniano również zastosowanie temozolomidu (TMZ) u pacjentów z glejakami niskiego stopnia (astrocytoma, oligoastrocytoma lub oligodendroglioma) w porównaniu do samej radioterapii. Pomimo korzyści w zakresie przeżycia przy wielomodalnym postępowaniu w leczeniu astrocytomów, występują jatrogenne działania toksyczne i zdarzenia niepożądane, które dotykają pacjentów zarówno w krótkim, jak i długim okresie.37

Ograniczenia w przewidywaniu rokowania

Prognozy dotyczące złośliwych guzów mózgu, pomimo coraz doskonalszych metod, nadal mają swoje ograniczenia:3839

  • Statystyki przeżycia są ogólnymi szacunkami i muszą być interpretowane z dużą ostrożnością
  • Przewidywania oparte na doświadczeniach grup pacjentów nie mogą być bezpośrednio stosowane do przewidywania szans przeżycia konkretnej osoby
  • Wskaźniki przeżycia dla guzów mózgu różnią się znacznie w zależności od typu guza, jego stopnia złośliwości i lokalizacji w mózgu
  • Lekarz nie może być absolutnie pewny co do przebiegu choroby u konkretnego pacjenta, może jedynie przedstawić szacunki oparte na typie guza i aktualnej sytuacji

404142

Podsumowanie aktualnych danych o rokowaniu

Typ guza Mediana przeżycia 5-letni wskaźnik przeżycia Kluczowe czynniki prognostyczne
Glejak wielopostaciowy (GBM) 12-18 miesięcy 6,9% Wiek, stan ogólny, metylacja MGMT, możliwość resekcji
Astrocytoma stopnia 4 około 1 roku dane niepełne Status IDH, możliwość resekcji, wiek
Rozlany glejak śródlinii 17,3 miesiąca 42,2% Lokalizacja, odpowiedź na leczenie
Anaplastyczny oponiak (stopień 3) mniej niż 2 lata dane niepełne Możliwość resekcji, odpowiedź na radioterapię
Gwiaździak pilocytyczny (stopień 1) dane niepełne ponad 90% (10-letnie) Całkowita resekcja, wiek (pediatryczny)
Wszystkie złośliwe guzy mózgu (ogółem) dane niepełne 35,7% Typ i stopień guza, wiek, stan ogólny, leczenie

Mimo postępów w leczeniu innych nowotworów, wskaźniki przeżycia dla dorosłych i pediatrycznych pacjentów z guzami mózgu nie zmieniły się znacząco w ciągu ostatnich 45 lat.43 Niemniej jednak, indywidualne rokowanie może się znacznie różnić w zależności od konkretnego przypadku, a tylko lekarz zaznajomiony ze wszystkimi czynnikami może połączyć te informacje ze statystykami przeżycia, aby określić prognozę.4445

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  1. 09.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Survival statistics for brain and spinal cord tumours are very general estimates and must be interpreted very carefully. Because these statistics are based on the experience of groups of people, they cannot be used to predict a particular persons chances of survival. […] In Canada, the 5-year net survival for all brain and central nervous system tumours is 22%. This means that about 22% of people diagnosed with brain and central nervous system tumours will survive at least 5 years. […] Survival varies with each grade and particular type or subtype of brain and spinal cord tumour. The following factors can also affect survival for brain and spinal cord tumours. However, survival rates for brain tumours will vary widely, depending on the type of tumour, its grade and the location in the brain.
  • #2 Staging and Prognosis for Brain Cancer | Cancer Council NSW
    https://www.cancercouncil.com.au/brain-cancer/diagnosis/staging-prognosis/
    The tumour will be given a grade based on how the cells look compared to normal cells. The grade suggests how quickly the cancer may grow. […] Prognosis means the expected outcome of a disease. You may wish to discuss your individual prognosis and treatment options with your doctor, but it is not possible for anyone to predict the exact course of the disease. […] Several factors may affect your prognosis, including: the tumour type, location, grade and genetic make-up; your age, general health and family history; whether the tumour has damaged the surrounding healthy brain tissue; how well the tumour responds to treatment. […] Both low-grade and high-grade tumours can affect how the brain works and be life-threatening, but the prognosis may be better if the tumour is low grade, or if the surgeon is able to safely remove the entire tumour.
  • #3 Glioblastoma Prognosis | Survival Rates
    https://www.thebraintumourcharity.org/brain-tumour-diagnosis-treatment/types-of-brain-tumour-adult/glioblastoma/glioblastoma-prognosis/
    Glioblastoma prognosis is when your doctor or medical team explains what you might expect from your diagnosis. […] Glioblastoma is a an aggressive type of brain tumour. And, the survival time for glioblastoma is sadly short on average. […] Your doctor cant be absolutely certain about what will happen to you following a brain tumour diagnosis. But, they can give you an estimate, based on your tumour type and current situation. […] The average glioblastoma survival time is 12-18 months only 25% of patients survive more than one year, and only 5% of patients survive more than five years. […] Please remember that statistics and averages cant tell you what will happen to you specifically.
  • #4 Brain Tumor Facts
    https://braintumor.org/brain-tumors/about-brain-tumors/brain-tumor-facts/
    35.7% Relative Survival Rate for all patients with a malignant brain tumor […] For patients with malignant brain tumors, the five-year relative survival rate following diagnosis is 35.7% […] For the most common form of primary malignant brain tumors, glioblastoma, the five-year relative survival rate is only 6.9% and median survival is only 8 months […] An estimated 18,990 people will die because of a malignant brain tumor (brain cancer) in 2023 […] Brain cancer is estimated to be the 10th leading cause of cancer death in 2023 for both males and females in all age groups […] The five-year relative survival rate for adults diagnosed with a primary brain tumor is 72.5% […] The five-year relative survival rate for those ages 40+ years is 21% for malignant tumors and 90.3% for non-malignant tumors […] Survival rates for adult and pediatric patients with brain tumors have not changed significantly over the past 45 years despite major improvements made in the treatment of other cancers.
  • #5 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9671967/
    Glioblastoma (GBM) is the most common malignant primary brain tumor in adults. Prognosis is generally very poor, with a median overall survival (OS) of less than 15 months, and a 5-year OS rate of only 10%, even when aggressively treated. […] The proposed Hd95 features contain some information about where the tumor is located in the brain and its size, both of which have been studied before and shown to carry prognostic value. […] The proposed Hd95 features measure how much each brain structure is deformed compared to its expected shape in the absence of pathology, and therefore they contain information about the location of the tumor, which has been shown previously to be a prognostic factor for OS. […] Nevertheless, our results show that the proposed Hd95 features carry richer prognostic information for predicting OS than tumor location alone.
  • #6 Staging and Prognosis for Brain Cancer | Cancer Council NSW
    https://www.cancercouncil.com.au/brain-cancer/diagnosis/staging-prognosis/
    The tumour will be given a grade based on how the cells look compared to normal cells. The grade suggests how quickly the cancer may grow. […] Prognosis means the expected outcome of a disease. You may wish to discuss your individual prognosis and treatment options with your doctor, but it is not possible for anyone to predict the exact course of the disease. […] Several factors may affect your prognosis, including: the tumour type, location, grade and genetic make-up; your age, general health and family history; whether the tumour has damaged the surrounding healthy brain tissue; how well the tumour responds to treatment. […] Both low-grade and high-grade tumours can affect how the brain works and be life-threatening, but the prognosis may be better if the tumour is low grade, or if the surgeon is able to safely remove the entire tumour.
  • #7 Stage IV brain cancer prognosis: What to know
    https://www.medicalnewstoday.com/articles/stage-iv-brain-cancer-prognosis
    A persons doctor can provide them with more accurate information about the outlook based on the type of tumor. […] People with glioblastoma, the most common type of brain tumor, live for around 12 to 18 months after diagnosis. […] However, the outlook for stage 4 brain cancer can vary. It can depend on a persons age, overall health, the tumor size, the grade and location of the tumor, and how it responds to treatments. […] The main tumors that can reach stage 4 include glioblastomas, astrocytomas, diffuse hemispheric gliomas, diffuse midline gliomas, and embryonal tumors.
  • #8 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Low-grade tumours have a more favourable prognosis than high-grade tumours. […] People younger than 65 years of age have a more favourable prognosis. […] People with a better performance status and neurological status have a more favourable prognosis. […] Tumours that can be surgically removed have a more favourable prognosis than tumours that can be partially removed or not removed. Tumours that are in parts of the brain where they cannot be easily removed by surgery have lower survival rates. […] Survival rates for those 65 or older are usually lower. […] Anaplastic or malignant meningioma (grade 3) These tumours have a median survival of less than 2 years. […] Only a doctor familiar with these factors can put all of this information together with survival statistics to arrive at a prognosis.
  • #9 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Astrocytomas include a wide range of tumors with unique mutations and varying grades of malignancy. […] Glioblastoma (GB) is both the most common astrocytoma and the most malignant, accounting for roughly 65% of astrocytomas. […] While the mortality rate varies with different grades of astrocytomas and mutations present, GB has a median survival of 15 months with treatment and a 3-year survival rate of 35%. […] There are numerous factors associated with improved overall survival rate, including female sex, younger age of diagnosis, lower comorbidity burden, presence of O6-methylguanine-DNA methyltransferase (MGMT) methylation in tumor genetics, reduced tumor size, single lesion, complete tumor resection, chemotherapy, and radiation treatment. […] While the loss of function of MGMT via methylation is associated with different cancers, it is also associated with improved patient outcomes in the treatment of astrocytomas.
  • #10 Glioblastoma (GBM) – American Brain Tumor Association | Learn More
    https://www.abta.org/tumor_types/glioblastoma-gbm/
    Prognosis means a prediction of outcome. This information is usually based on information gathered from groups of people with the same disease. It is important to remember these statistics are not individualized. […] The 5-year relative survival rates for glioblastoma by age group are as follows: Children (ages 0-14): 19.5%* […] Adolescents Young Adults (ages 15-39): 27.3%* […] Adults (ages 40+): 5.6%* […] *These percentages represent the prior classification of Glioblastoma which included what is now considered Astrocytoma, IDH mutant, grade 4.
  • #11 Brain Tumor Facts
    https://braintumor.org/brain-tumors/about-brain-tumors/brain-tumor-facts/
    35.7% Relative Survival Rate for all patients with a malignant brain tumor […] For patients with malignant brain tumors, the five-year relative survival rate following diagnosis is 35.7% […] For the most common form of primary malignant brain tumors, glioblastoma, the five-year relative survival rate is only 6.9% and median survival is only 8 months […] An estimated 18,990 people will die because of a malignant brain tumor (brain cancer) in 2023 […] Brain cancer is estimated to be the 10th leading cause of cancer death in 2023 for both males and females in all age groups […] The five-year relative survival rate for adults diagnosed with a primary brain tumor is 72.5% […] The five-year relative survival rate for those ages 40+ years is 21% for malignant tumors and 90.3% for non-malignant tumors […] Survival rates for adult and pediatric patients with brain tumors have not changed significantly over the past 45 years despite major improvements made in the treatment of other cancers.
  • #12 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Low-grade tumours have a more favourable prognosis than high-grade tumours. […] People younger than 65 years of age have a more favourable prognosis. […] People with a better performance status and neurological status have a more favourable prognosis. […] Tumours that can be surgically removed have a more favourable prognosis than tumours that can be partially removed or not removed. Tumours that are in parts of the brain where they cannot be easily removed by surgery have lower survival rates. […] Survival rates for those 65 or older are usually lower. […] Anaplastic or malignant meningioma (grade 3) These tumours have a median survival of less than 2 years. […] Only a doctor familiar with these factors can put all of this information together with survival statistics to arrive at a prognosis.
  • #13 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Low-grade tumours have a more favourable prognosis than high-grade tumours. […] People younger than 65 years of age have a more favourable prognosis. […] People with a better performance status and neurological status have a more favourable prognosis. […] Tumours that can be surgically removed have a more favourable prognosis than tumours that can be partially removed or not removed. Tumours that are in parts of the brain where they cannot be easily removed by surgery have lower survival rates. […] Survival rates for those 65 or older are usually lower. […] Anaplastic or malignant meningioma (grade 3) These tumours have a median survival of less than 2 years. […] Only a doctor familiar with these factors can put all of this information together with survival statistics to arrive at a prognosis.
  • #14 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Studies have shown a significant association between methylated MGMT and longer survival as well as decreased tumor size over the course of treatment. […] The grading of astrocytomas is based on histological observations and cellular markers. […] Grade 1 tumors include PA, which is the most common primary CNS tumor in children aged 5-14. […] With a 10-year survival over 90%, pediatric PAs are amenable to surgery and hold an excellent prognosis if completely excised. […] For grade 4 astrocytomas (GB), 2-year PFS is an abysmal 10%. […] IDH mutations in high-grade astrocytomas are extremely relevant to prognosis, with wild-type IDH AAs typically displaying worse prognosis than IDH-mutated GB. […] The combination of WBRT using 5,000-6,000 rad in addition to surgical resection of malignant gliomas revealed significant survival benefit in comparison to surgical resection alone.
  • #15 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Astrocytomas include a wide range of tumors with unique mutations and varying grades of malignancy. […] Glioblastoma (GB) is both the most common astrocytoma and the most malignant, accounting for roughly 65% of astrocytomas. […] While the mortality rate varies with different grades of astrocytomas and mutations present, GB has a median survival of 15 months with treatment and a 3-year survival rate of 35%. […] There are numerous factors associated with improved overall survival rate, including female sex, younger age of diagnosis, lower comorbidity burden, presence of O6-methylguanine-DNA methyltransferase (MGMT) methylation in tumor genetics, reduced tumor size, single lesion, complete tumor resection, chemotherapy, and radiation treatment. […] While the loss of function of MGMT via methylation is associated with different cancers, it is also associated with improved patient outcomes in the treatment of astrocytomas.
  • #16 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Studies have shown a significant association between methylated MGMT and longer survival as well as decreased tumor size over the course of treatment. […] The grading of astrocytomas is based on histological observations and cellular markers. […] Grade 1 tumors include PA, which is the most common primary CNS tumor in children aged 5-14. […] With a 10-year survival over 90%, pediatric PAs are amenable to surgery and hold an excellent prognosis if completely excised. […] For grade 4 astrocytomas (GB), 2-year PFS is an abysmal 10%. […] IDH mutations in high-grade astrocytomas are extremely relevant to prognosis, with wild-type IDH AAs typically displaying worse prognosis than IDH-mutated GB. […] The combination of WBRT using 5,000-6,000 rad in addition to surgical resection of malignant gliomas revealed significant survival benefit in comparison to surgical resection alone.
  • #17 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Astrocytomas include a wide range of tumors with unique mutations and varying grades of malignancy. […] Glioblastoma (GB) is both the most common astrocytoma and the most malignant, accounting for roughly 65% of astrocytomas. […] While the mortality rate varies with different grades of astrocytomas and mutations present, GB has a median survival of 15 months with treatment and a 3-year survival rate of 35%. […] There are numerous factors associated with improved overall survival rate, including female sex, younger age of diagnosis, lower comorbidity burden, presence of O6-methylguanine-DNA methyltransferase (MGMT) methylation in tumor genetics, reduced tumor size, single lesion, complete tumor resection, chemotherapy, and radiation treatment. […] While the loss of function of MGMT via methylation is associated with different cancers, it is also associated with improved patient outcomes in the treatment of astrocytomas.
  • #18 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Studies have shown a significant association between methylated MGMT and longer survival as well as decreased tumor size over the course of treatment. […] The grading of astrocytomas is based on histological observations and cellular markers. […] Grade 1 tumors include PA, which is the most common primary CNS tumor in children aged 5-14. […] With a 10-year survival over 90%, pediatric PAs are amenable to surgery and hold an excellent prognosis if completely excised. […] For grade 4 astrocytomas (GB), 2-year PFS is an abysmal 10%. […] IDH mutations in high-grade astrocytomas are extremely relevant to prognosis, with wild-type IDH AAs typically displaying worse prognosis than IDH-mutated GB. […] The combination of WBRT using 5,000-6,000 rad in addition to surgical resection of malignant gliomas revealed significant survival benefit in comparison to surgical resection alone.
  • #19 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images | Scientific Reports
    https://www.nature.com/articles/s41598-022-19223-3
    Glioblastoma (GBM) is the most common malignant primary brain tumor in adults. Prognosis is generally very poor, with a median overall survival (OS) of less than 15 months, and a 5-year OS rate of only 10%, even when aggressively treated. Following standard therapy, OS and progression-free survival (PFS) have been shown to correlate with several patient-specific features such as age, performance status and expression of O6-methylguanine-DNA-methyltransferase (MGMT). However, the prognostic value of these features is still too low to guide treatment choices in individual patients. […] The proposed Hd95 features contain some information about where the tumor is located in the brain and its size, both of which have been studied before and shown to carry prognostic value. […] The best model for OS was achieved by combining the proposed features with the previously known prognostic clinical features: further addition of CoM, TCV, and CEV did not provide significant improvement.
  • #20 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9671967/
    Glioblastoma (GBM) is the most common malignant primary brain tumor in adults. Prognosis is generally very poor, with a median overall survival (OS) of less than 15 months, and a 5-year OS rate of only 10%, even when aggressively treated. […] The proposed Hd95 features contain some information about where the tumor is located in the brain and its size, both of which have been studied before and shown to carry prognostic value. […] The proposed Hd95 features measure how much each brain structure is deformed compared to its expected shape in the absence of pathology, and therefore they contain information about the location of the tumor, which has been shown previously to be a prognostic factor for OS. […] Nevertheless, our results show that the proposed Hd95 features carry richer prognostic information for predicting OS than tumor location alone.
  • #21 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images | Scientific Reports
    https://www.nature.com/articles/s41598-022-19223-3
    The proposed Hd95 features measure how much each brain structure is deformed compared to its expected shape in the absence of pathology, and therefore they contain information about the location of the tumor, which has been shown previously to be a prognostic factor for OS. Nevertheless, our results show that the proposed Hd95 features carry richer prognostic information for predicting OS than tumor location alone. […] The features proposed in this paper readily generalize across datasets: They are independent of scanner and imaging parameters, and they can be computed from both pre- or post-operative images; from data that is skull-stripped or not; and from subjects with missing modalities.
  • #22 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9671967/
    The best model for OS was achieved by combining the proposed features with the previously known prognostic clinical features: further addition of CoM, TCV, and CEV did not provide significant improvement. […] The proposed features improve the performance of survival models for both overall- and progression-free survival, compared to models based only on several previously known prognostic factors.
  • #23
    https://braintumourresearch.org/pages/types-of-brain-tumours-glioblastoma-multiforme-gbm?srsltid=AfmBOoqCsKbFhnZfe6j4Gy73VIe6jQ59JBm1ezQbTuzooZ-quUDCNMIT
    Glioblastoma multiforme (GBM) is a fast-growing type of tumour of the brain or spinal cord. It is the most common type of primary malignant brain tumour in adults. […] The average survival time is devastatingly short just 12-18 months. However, 25% of glioblastoma patients survive more than one year and 5% of patients survive more than five years. The reason why some people survive so much longer than others is not yet clear. […] Glioblastoma multiforme (GBM) is the most common type of primary malignant brain tumour in adults. It is also the most aggressive and lethal. Less than 1% of all patients with a glioblastoma live for more than ten years, so in the majority of cases, it is fatal. […] Glioblastoma is a highly aggressive and malignant form of brain cancer, and at present, it is generally considered to be incurable.
  • #24 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Astrocytomas include a wide range of tumors with unique mutations and varying grades of malignancy. […] Glioblastoma (GB) is both the most common astrocytoma and the most malignant, accounting for roughly 65% of astrocytomas. […] While the mortality rate varies with different grades of astrocytomas and mutations present, GB has a median survival of 15 months with treatment and a 3-year survival rate of 35%. […] There are numerous factors associated with improved overall survival rate, including female sex, younger age of diagnosis, lower comorbidity burden, presence of O6-methylguanine-DNA methyltransferase (MGMT) methylation in tumor genetics, reduced tumor size, single lesion, complete tumor resection, chemotherapy, and radiation treatment. […] While the loss of function of MGMT via methylation is associated with different cancers, it is also associated with improved patient outcomes in the treatment of astrocytomas.
  • #25 Glioblastoma Prognosis | Survival Rates
    https://www.thebraintumourcharity.org/brain-tumour-diagnosis-treatment/types-of-brain-tumour-adult/glioblastoma/glioblastoma-prognosis/
    Glioblastoma prognosis is when your doctor or medical team explains what you might expect from your diagnosis. […] Glioblastoma is a an aggressive type of brain tumour. And, the survival time for glioblastoma is sadly short on average. […] Your doctor cant be absolutely certain about what will happen to you following a brain tumour diagnosis. But, they can give you an estimate, based on your tumour type and current situation. […] The average glioblastoma survival time is 12-18 months only 25% of patients survive more than one year, and only 5% of patients survive more than five years. […] Please remember that statistics and averages cant tell you what will happen to you specifically.
  • #26
    https://braintumourresearch.org/pages/types-of-brain-tumours-glioblastoma-multiforme-gbm?srsltid=AfmBOoqCsKbFhnZfe6j4Gy73VIe6jQ59JBm1ezQbTuzooZ-quUDCNMIT
    The standard treatment for glioblastoma typically involves surgery to remove as much of the tumour as possible, followed by radiation therapy and chemotherapy to help slow the growth of any remaining cancer cells. While this treatment approach can help to extend survival and improve the quality of life for some patients, cancer typically returns and continues to progress despite treatment. […] It varies – the average survival time is devastatingly short just 12-18 months. Only 25% of glioblastoma patients survive more than one year and 5% of patients survive more than five years. Less than 1% of all patients with a glioblastoma live for more than ten years, so in the majority of cases, it is fatal.
  • #27 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images
    https://pmc.ncbi.nlm.nih.gov/articles/PMC9671967/
    Glioblastoma (GBM) is the most common malignant primary brain tumor in adults. Prognosis is generally very poor, with a median overall survival (OS) of less than 15 months, and a 5-year OS rate of only 10%, even when aggressively treated. […] The proposed Hd95 features contain some information about where the tumor is located in the brain and its size, both of which have been studied before and shown to carry prognostic value. […] The proposed Hd95 features measure how much each brain structure is deformed compared to its expected shape in the absence of pathology, and therefore they contain information about the location of the tumor, which has been shown previously to be a prognostic factor for OS. […] Nevertheless, our results show that the proposed Hd95 features carry richer prognostic information for predicting OS than tumor location alone.
  • #28 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images | Scientific Reports
    https://www.nature.com/articles/s41598-022-19223-3
    Glioblastoma (GBM) is the most common malignant primary brain tumor in adults. Prognosis is generally very poor, with a median overall survival (OS) of less than 15 months, and a 5-year OS rate of only 10%, even when aggressively treated. Following standard therapy, OS and progression-free survival (PFS) have been shown to correlate with several patient-specific features such as age, performance status and expression of O6-methylguanine-DNA-methyltransferase (MGMT). However, the prognostic value of these features is still too low to guide treatment choices in individual patients. […] The proposed Hd95 features contain some information about where the tumor is located in the brain and its size, both of which have been studied before and shown to carry prognostic value. […] The best model for OS was achieved by combining the proposed features with the previously known prognostic clinical features: further addition of CoM, TCV, and CEV did not provide significant improvement.
  • #29 Stage IV brain cancer prognosis: What to know
    https://www.medicalnewstoday.com/articles/stage-iv-brain-cancer-prognosis
    The outlook for stage 4 brain cancer depends on a wide range of factors. These include the type of brain cancer, how fast it grows, the tumors location on the brain, and an individuals overall health. […] The National Brain Tumor Society estimates that the overall relative survival rate for someone with a malignant brain tumor is 35.7%. However, this varies depending on the type of tumor. […] If a person has glioblastoma, doctors estimate that they will survive for 12 to 18 months after diagnosis. […] According to a 2023 article, a grade 4 astrocytoma has an estimated survival time of around 1 year. […] The relative 5-year survival rate for people with diffuse midline glioma is around 42.2%. […] In a 2022 review of 27 studies involving 135 people, the median overall survival was 17.3 months.
  • #30 Stage IV brain cancer prognosis: What to know
    https://www.medicalnewstoday.com/articles/stage-iv-brain-cancer-prognosis
    The outlook for stage 4 brain cancer depends on a wide range of factors. These include the type of brain cancer, how fast it grows, the tumors location on the brain, and an individuals overall health. […] The National Brain Tumor Society estimates that the overall relative survival rate for someone with a malignant brain tumor is 35.7%. However, this varies depending on the type of tumor. […] If a person has glioblastoma, doctors estimate that they will survive for 12 to 18 months after diagnosis. […] According to a 2023 article, a grade 4 astrocytoma has an estimated survival time of around 1 year. […] The relative 5-year survival rate for people with diffuse midline glioma is around 42.2%. […] In a 2022 review of 27 studies involving 135 people, the median overall survival was 17.3 months.
  • #31 Multi-Channel 3D Deep Feature Learning for Survival Time Prediction of Brain Tumor Patients Using Multi-Modal Neuroimages | Scientific Reports
    https://www.nature.com/articles/s41598-018-37387-9
    High-grade gliomas are the most aggressive malignant brain tumors. Accurate pre-operative prognosis for this cohort can lead to better treatment planning. […] Conventional survival prediction based on clinical information is subjective and could be inaccurate. […] This study indicates highly demanded effectiveness on prognosis of deep learning technique in neuro-oncological applications for better individualized treatment planning towards precision medicine. […] Presurgical prognosis of the high-grade gliomas is highly desired in clinical practice for better treatment planning, but still challenging compared to low-grade gliomas. […] These findings indicate that the traditional prognosis prediction based on the simple clinical and demographical information may not be adequately accurate.
  • #32 Multi-Channel 3D Deep Feature Learning for Survival Time Prediction of Brain Tumor Patients Using Multi-Modal Neuroimages | Scientific Reports
    https://www.nature.com/articles/s41598-018-37387-9
    Instead, based on the abundant non-invasive multi-modal neuroimaging data acquired prior to any invasive examination or surgery, a more accurate prognosis model for high-grade gliomas could be established, which is of great clinical importance and could benefit both treatment planning and patient care. […] Accurate pre-operative prognosis for this high-grade glioma can lead to better treatment planning. […] Our proposed framework is able to work well on a small dataset. […] The extracted features were then fed into a binary SVM classifier. […] The performance of our supervised CNN-based learned features was compared with the performances of several other state-of-the-art methods, including those using the traditional handcrafted features. […] Overall, our proposed method shows its great promise in multi-modal MRI-based diagnosis or prognosis for a wider spectrum of neurological and psychiatric diseases.
  • #33 Multi-Channel 3D Deep Feature Learning for Survival Time Prediction of Brain Tumor Patients Using Multi-Modal Neuroimages | Scientific Reports
    https://www.nature.com/articles/s41598-018-37387-9
    Instead, based on the abundant non-invasive multi-modal neuroimaging data acquired prior to any invasive examination or surgery, a more accurate prognosis model for high-grade gliomas could be established, which is of great clinical importance and could benefit both treatment planning and patient care. […] Accurate pre-operative prognosis for this high-grade glioma can lead to better treatment planning. […] Our proposed framework is able to work well on a small dataset. […] The extracted features were then fed into a binary SVM classifier. […] The performance of our supervised CNN-based learned features was compared with the performances of several other state-of-the-art methods, including those using the traditional handcrafted features. […] Overall, our proposed method shows its great promise in multi-modal MRI-based diagnosis or prognosis for a wider spectrum of neurological and psychiatric diseases.
  • #34 Predicting survival of glioblastoma from automatic whole-brain and tumor segmentation of MR images | Scientific Reports
    https://www.nature.com/articles/s41598-022-19223-3
    The proposed Hd95 features measure how much each brain structure is deformed compared to its expected shape in the absence of pathology, and therefore they contain information about the location of the tumor, which has been shown previously to be a prognostic factor for OS. Nevertheless, our results show that the proposed Hd95 features carry richer prognostic information for predicting OS than tumor location alone. […] The features proposed in this paper readily generalize across datasets: They are independent of scanner and imaging parameters, and they can be computed from both pre- or post-operative images; from data that is skull-stripped or not; and from subjects with missing modalities.
  • #35
    https://braintumourresearch.org/pages/types-of-brain-tumours-glioblastoma-multiforme-gbm?srsltid=AfmBOoqCsKbFhnZfe6j4Gy73VIe6jQ59JBm1ezQbTuzooZ-quUDCNMIT
    The standard treatment for glioblastoma typically involves surgery to remove as much of the tumour as possible, followed by radiation therapy and chemotherapy to help slow the growth of any remaining cancer cells. While this treatment approach can help to extend survival and improve the quality of life for some patients, cancer typically returns and continues to progress despite treatment. […] It varies – the average survival time is devastatingly short just 12-18 months. Only 25% of glioblastoma patients survive more than one year and 5% of patients survive more than five years. Less than 1% of all patients with a glioblastoma live for more than ten years, so in the majority of cases, it is fatal.
  • #36 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    Studies have shown a significant association between methylated MGMT and longer survival as well as decreased tumor size over the course of treatment. […] The grading of astrocytomas is based on histological observations and cellular markers. […] Grade 1 tumors include PA, which is the most common primary CNS tumor in children aged 5-14. […] With a 10-year survival over 90%, pediatric PAs are amenable to surgery and hold an excellent prognosis if completely excised. […] For grade 4 astrocytomas (GB), 2-year PFS is an abysmal 10%. […] IDH mutations in high-grade astrocytomas are extremely relevant to prognosis, with wild-type IDH AAs typically displaying worse prognosis than IDH-mutated GB. […] The combination of WBRT using 5,000-6,000 rad in addition to surgical resection of malignant gliomas revealed significant survival benefit in comparison to surgical resection alone.
  • #37 Update for astrocytomas: medical and surgical management considerations
    https://www.explorationpub.com/Journals/en/Article/10069
    The use of TMZ was also assessed in patients with low-grade glioma (astrocytoma, oligoastrocytoma, or oligodendroglioma) compared to RT-alone. […] Despite survival benefits with multimodal management of astrocytomas, iatrogenic toxicities and adverse events do exist and afflict patients both short- and long-term. […] Overall, each treatment comes with its own unique risks and potential reduction in quality of life.
  • #38 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Survival statistics for brain and spinal cord tumours are very general estimates and must be interpreted very carefully. Because these statistics are based on the experience of groups of people, they cannot be used to predict a particular persons chances of survival. […] In Canada, the 5-year net survival for all brain and central nervous system tumours is 22%. This means that about 22% of people diagnosed with brain and central nervous system tumours will survive at least 5 years. […] Survival varies with each grade and particular type or subtype of brain and spinal cord tumour. The following factors can also affect survival for brain and spinal cord tumours. However, survival rates for brain tumours will vary widely, depending on the type of tumour, its grade and the location in the brain.
  • #39 Glioblastoma Prognosis | Survival Rates
    https://www.thebraintumourcharity.org/brain-tumour-diagnosis-treatment/types-of-brain-tumour-adult/glioblastoma/glioblastoma-prognosis/
    Glioblastoma prognosis is when your doctor or medical team explains what you might expect from your diagnosis. […] Glioblastoma is a an aggressive type of brain tumour. And, the survival time for glioblastoma is sadly short on average. […] Your doctor cant be absolutely certain about what will happen to you following a brain tumour diagnosis. But, they can give you an estimate, based on your tumour type and current situation. […] The average glioblastoma survival time is 12-18 months only 25% of patients survive more than one year, and only 5% of patients survive more than five years. […] Please remember that statistics and averages cant tell you what will happen to you specifically.
  • #40 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Survival statistics for brain and spinal cord tumours are very general estimates and must be interpreted very carefully. Because these statistics are based on the experience of groups of people, they cannot be used to predict a particular persons chances of survival. […] In Canada, the 5-year net survival for all brain and central nervous system tumours is 22%. This means that about 22% of people diagnosed with brain and central nervous system tumours will survive at least 5 years. […] Survival varies with each grade and particular type or subtype of brain and spinal cord tumour. The following factors can also affect survival for brain and spinal cord tumours. However, survival rates for brain tumours will vary widely, depending on the type of tumour, its grade and the location in the brain.
  • #41 Staging and Prognosis for Brain Cancer | Cancer Council NSW
    https://www.cancercouncil.com.au/brain-cancer/diagnosis/staging-prognosis/
    The tumour will be given a grade based on how the cells look compared to normal cells. The grade suggests how quickly the cancer may grow. […] Prognosis means the expected outcome of a disease. You may wish to discuss your individual prognosis and treatment options with your doctor, but it is not possible for anyone to predict the exact course of the disease. […] Several factors may affect your prognosis, including: the tumour type, location, grade and genetic make-up; your age, general health and family history; whether the tumour has damaged the surrounding healthy brain tissue; how well the tumour responds to treatment. […] Both low-grade and high-grade tumours can affect how the brain works and be life-threatening, but the prognosis may be better if the tumour is low grade, or if the surgeon is able to safely remove the entire tumour.
  • #42 Glioblastoma Prognosis | Survival Rates
    https://www.thebraintumourcharity.org/brain-tumour-diagnosis-treatment/types-of-brain-tumour-adult/glioblastoma/glioblastoma-prognosis/
    Glioblastoma prognosis is when your doctor or medical team explains what you might expect from your diagnosis. […] Glioblastoma is a an aggressive type of brain tumour. And, the survival time for glioblastoma is sadly short on average. […] Your doctor cant be absolutely certain about what will happen to you following a brain tumour diagnosis. But, they can give you an estimate, based on your tumour type and current situation. […] The average glioblastoma survival time is 12-18 months only 25% of patients survive more than one year, and only 5% of patients survive more than five years. […] Please remember that statistics and averages cant tell you what will happen to you specifically.
  • #43 Brain Tumor Facts
    https://braintumor.org/brain-tumors/about-brain-tumors/brain-tumor-facts/
    35.7% Relative Survival Rate for all patients with a malignant brain tumor […] For patients with malignant brain tumors, the five-year relative survival rate following diagnosis is 35.7% […] For the most common form of primary malignant brain tumors, glioblastoma, the five-year relative survival rate is only 6.9% and median survival is only 8 months […] An estimated 18,990 people will die because of a malignant brain tumor (brain cancer) in 2023 […] Brain cancer is estimated to be the 10th leading cause of cancer death in 2023 for both males and females in all age groups […] The five-year relative survival rate for adults diagnosed with a primary brain tumor is 72.5% […] The five-year relative survival rate for those ages 40+ years is 21% for malignant tumors and 90.3% for non-malignant tumors […] Survival rates for adult and pediatric patients with brain tumors have not changed significantly over the past 45 years despite major improvements made in the treatment of other cancers.
  • #44 Survival statistics for brain and spinal cord tumours | Canadian Cancer Society
    https://cancer.ca/en/cancer-information/cancer-types/brain-and-spinal-cord/prognosis-and-survival/survival-statistics
    Low-grade tumours have a more favourable prognosis than high-grade tumours. […] People younger than 65 years of age have a more favourable prognosis. […] People with a better performance status and neurological status have a more favourable prognosis. […] Tumours that can be surgically removed have a more favourable prognosis than tumours that can be partially removed or not removed. Tumours that are in parts of the brain where they cannot be easily removed by surgery have lower survival rates. […] Survival rates for those 65 or older are usually lower. […] Anaplastic or malignant meningioma (grade 3) These tumours have a median survival of less than 2 years. […] Only a doctor familiar with these factors can put all of this information together with survival statistics to arrive at a prognosis.
  • #45 Stage IV brain cancer prognosis: What to know
    https://www.medicalnewstoday.com/articles/stage-iv-brain-cancer-prognosis
    A persons doctor can provide them with more accurate information about the outlook based on the type of tumor. […] People with glioblastoma, the most common type of brain tumor, live for around 12 to 18 months after diagnosis. […] However, the outlook for stage 4 brain cancer can vary. It can depend on a persons age, overall health, the tumor size, the grade and location of the tumor, and how it responds to treatments. […] The main tumors that can reach stage 4 include glioblastomas, astrocytomas, diffuse hemispheric gliomas, diffuse midline gliomas, and embryonal tumors.