From: Chapter 2, Molecular Genetics of Secondary Glioblastoma
Licence: This open access article is licenced under Creative Commons Attribution 4.0 International (CC BY 4.0). https://creativecommons.org/licenses/by-nc/4.0/
IDH-WT GBM | IDH-mutant GBM | |
---|---|---|
Synonym | Primary glioblastoma | Secondary glioblastoma |
Precursor lesion | Identified de novo | Diffuse astrocytoma Anaplastic astrocytoma |
Proportion of glioblastomas | ~90% | ~10% |
Median age at diagnosis | ~62 years | ~44 years |
M:F ratio | 1.42:1 | 1.05:1 |
Median length of clinical history at diagnosis | 4 months | 15 months |
Median overall survival | ||
Surgery + radiotherapy | 9.9 months | 24 months |
Surgery + RT + CTX | 15 months | 31 months |
Location | Supratentorial | Preferentially frontal |
Necrosis | Extensive | Limited |
TERT promoter mutations | 72% | 26% |
TP53 mutations | 27% | 81% |
ATRX mutations | Exceptional | 71% |
EGFR amplification | 35% | Exceptional |
PTEN mutations | 24% | Exceptional |
ATRX, adult thalassemia mental retardation x-linked; CTX, chemotherapy; EGFR, epidermal growth factor receptor; GBM, Glioblastoma multiforme; IDH, Isocitrate dehydrogenase; PTEN, phosphatase and tensin homolog; TERT, telomerase reverse transcriptase; TP53, tumor protein 53; RT, radiotherapy.
From: Chapter 2, Molecular Genetics of Secondary Glioblastoma
Licence: This open access article is licenced under Creative Commons Attribution 4.0 International (CC BY 4.0). https://creativecommons.org/licenses/by-nc/4.0/
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