Skip to main content

Supratentorial High-Grade Gliomas

  • Chapter
Oncology of CNS Tumors

Abstract

Central nervous system (CNS) tumors account for 20–25% of all childhood neoplasms, and their incidence is second only to hematologic malignancies [45]. In addition, they are the third leading cause of death in children less than 16 years of age. The majority of supratentorial primary brain tumors in children are gliomas.

Fortunately, low-grade gliomas account for 60–80% of supratentorial hemispheric tumors in children; these tumors occur at an incidence of approximately five in one million children per year [36, 47, 51]. High-grade gliomas (HGG), equivalent to malignant gliomas, account for the remaining 20–40% [2]. Overall, HGGs account for approximately 6.5% of all newly diagnosed childhood intracranial tumors [47]. There does not appear to be any influence of gender or race on incidence [5]. Tumors metastatic to the CNS are rare in children.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Alonso M et al (2001) Microsatellite instability occurs in distinct subtypes of pediatric but not adult central nervous system tumors. Cancer Res 61(5):2124–2128

    PubMed  CAS  Google Scholar 

  2. Baumann GS et al (1996) Gamma knife radiosurgery in children. Pediatr Neurosurg 24(4):193–201

    Article  PubMed  CAS  Google Scholar 

  3. Behin A et al (2003) Primary brain tumours in adults. Lancet 361(9354):323–331

    Article  PubMed  Google Scholar 

  4. Brada M et al (2001) Multicenter phase II trial of temozolomide in patients with glioblastoma multiforme at first relapse. Ann Oncol 12(2):259–266

    Article  PubMed  CAS  Google Scholar 

  5. Broniscer A, Gajjar A. (2004) Supratentorial high-grade astrocytoma and diffuse brainstem glioma: two challenges for the pediatric oncologist. Oncologist 9(2):197–206

    Article  PubMed  Google Scholar 

  6. Broniscer A et al (2007) Phase I trial of single-dose temozo-lomide and continuous administration of o6-benzylguanine in children with brain tumors: a pediatric brain tumor consortium report. Clin Cancer Res 13(22 Pt 1):6712–6718

    Article  PubMed  CAS  Google Scholar 

  7. Burton EC, Prados MD. (2000) Malignant gliomas. Curr Treat Options Oncol 1(5):459–468

    Article  PubMed  CAS  Google Scholar 

  8. Chang YW et al (2003) MR imaging of glioblastoma in children: usefulness of diffusion/perfusion-weighted MRI and MR spectroscopy. Pediatr Radiol 33(12):836–842

    Article  PubMed  Google Scholar 

  9. Chastagner P et al (2007) Outcome of children treated with preradiation chemotherapy for a high-grade glioma: results of a French Society of Pediatric Oncology (SFOP) Pilot Study. Pediatr Blood Cancer 49(6):803–807

    Article  PubMed  CAS  Google Scholar 

  10. Chintagumpala MM et al (2006) A phase II window trial of procarbazine and topotecan in children with high-grade glioma: a report from the children's oncology group. J Neurooncol 77(2):193–198

    Article  PubMed  CAS  Google Scholar 

  11. Duffner PK et al (1993) Postoperative chemotherapy and delayed radiation in children less than three years of age with malignant brain tumors. N Engl J Med 328(24):1725–1731

    Article  PubMed  CAS  Google Scholar 

  12. Dufour C et al (2006) High-grade glioma in children under 5 years of age: a chemotherapy only approach with the BBSFOP protocol. Eur J Cancer 42(17):2939–2945

    Article  PubMed  CAS  Google Scholar 

  13. Eastwood JD, Provenzale JM. (2003) Cerebral blood flow, blood volume, and vascular permeability of cerebral glioma assessed with dynamic CT perfusion imaging. Neuroradiology 45(6):373–376

    Article  PubMed  CAS  Google Scholar 

  14. Fernandez C et al (2003) Pilocytic astrocytomas in children: prognostic factors – a retrospective study of 80 cases. Neurosurgery 53(3):544–553; discussion 554–555

    Article  PubMed  Google Scholar 

  15. Finlay JL et al (1995) Randomized phase III trial in childhood high-grade astrocytoma comparing vincristine, lomus-tine, and prednisone with the eight-drugs-in-1-day regimen. Childrens Cancer Group. J Clin Oncol. 13(1):112–123

    CAS  Google Scholar 

  16. Finlay JL. (1996) The role of high-dose chemotherapy and stem cell rescue in the treatment of malignant brain tumors. Bone Marrow Transpl 18(Suppl 3):S1–S5

    Google Scholar 

  17. Fouladi M et al (2007) A phase II study of the farnesyl transferase inhibitor, tipifarnib, in children with recurrent or progressive high-grade glioma, medulloblastoma/primitive neuroectodermal tumor, or brainstem glioma: a Children's Oncology Group study. Cancer 110(11):2535–2541

    Article  PubMed  CAS  Google Scholar 

  18. Gilbert MR et al (2002) A phase II study of temozolomide in patients with newly diagnosed supratentorial malignant glioma before radiation therapy. Neuro Oncol 4(4):261–267

    PubMed  CAS  Google Scholar 

  19. Gupta N, Berger MS. (2003) Brain mapping for hemispheric tumors in children. Pediatr Neurosurg 38(6):302–306

    Article  PubMed  Google Scholar 

  20. Hales R et al (2006) Prognostic factors in pediatric highgrade glioma and the importance of accurate pathologic diagnosis. Int J Radiat Oncol Biol Phys 66(3, Suppl 1): S527–S527

    Article  Google Scholar 

  21. Heideman RL et al (1995) Preirradiation chemotherapy with carboplatin and etoposide in newly diagnosed embryonal pediatric CNS tumors. J Clin Oncol 13(9):2247–2254

    PubMed  CAS  Google Scholar 

  22. Hodgson DC et al (2001) Radiosurgery in the management of pediatric brain tumors. Int J Radiat Oncol Biol Phys 50(4):929–935

    Article  PubMed  CAS  Google Scholar 

  23. Jakacki RI et al (2008) Pediatric phase I and pharmacoki-netic study of Erlotinib followed by the combination of Erlotinib and Temozolomide: a Children's Oncology Group Phase I Consortium Study. J Clin Oncol 26:4921–4927

    Article  PubMed  CAS  Google Scholar 

  24. Kunwar S. (2003) Convection enhanced delivery of IL13-PE38QQR for treatment of recurrent malignant glioma: presentation of interim findings from ongoing phase 1 studies. Acta Neurochir Suppl 88:105–111

    Google Scholar 

  25. Lashford LS et al (2002) Temozolomide in malignant gliomas of childhood: a United Kingdom Children's Cancer Study Group and French Society for Pediatric Oncology Intergroup Study. J Clin Oncol 20(24):4684–4691

    Article  PubMed  CAS  Google Scholar 

  26. Law M et al (2003) Glioma grading: sensitivity, specificity, and predictive values of perfusion MR imaging and proton MR spectroscopic imaging compared with conventional MR imaging. AJNR Am J Neuroradiol 24(10):1989–1998

    PubMed  Google Scholar 

  27. Levin VA et al (2003) Phase III randomized study of postradiotherapy chemotherapy with combination alpha-difluoromethylornithine-PCV versus PCV for anaplastic gliomas. Clin Cancer Res 9(3):981–990

    PubMed  CAS  Google Scholar 

  28. Liang ML et al (2008) Tyrosine kinase expression in pediat-ric high grade astrocytoma. J Neurooncol 87(3):247–253

    Article  PubMed  Google Scholar 

  29. Lopez-Aguilar E et al (2003) Preirradiation ifosfamide, car-boplatin and etoposide (ICE) for the treatment of high-grade astrocytomas in children. Childs Nerv Syst 19(12):818–823

    Article  PubMed  Google Scholar 

  30. Lopez-Aguilar E et al (2000) Preirradiation ifosfamide, car-boplatin, and etoposide for the treatment of anaplastic astro-cytomas and glioblastoma multiforme: a phase II study. Arch Med Res 31(2):186–190

    Article  PubMed  CAS  Google Scholar 

  31. MacDonald TJ et al (2008) Phase I clinical trial of cilengitide in children with refractory brain tumors: Pediatric Brain Tumor Consortium Study PBTC-012. J Clin Oncol 26(6):919–924

    Article  PubMed  CAS  Google Scholar 

  32. Merchant TE et al (2002) Preliminary results from a Phase II trail of conformal radiation therapy for pediatric patients with localised low-grade astrocytoma and ependymoma. Int J Radiat Oncol Biol Phys 52(2):325–332

    Article  PubMed  Google Scholar 

  33. Nakamura M et al (2007) Molecular pathogenesis of pediat-ric astrocytic tumors. Neuro Oncol 9(2):113–123

    Article  PubMed  CAS  Google Scholar 

  34. Parsa CF, Givrad S. (2008) Juvenile pilocytic astrocytomas do not undergo spontaneous malignant transformation: grounds for designation as hamartomas. Br J Ophthalmol 92(1):40–46

    Article  PubMed  CAS  Google Scholar 

  35. Phuphanich S et al (1984) Supratentorial malignant gliomas of childhood. Results of treatment with radiation therapy and chemotherapy. J Neurosurg 60(3):495–499

    Article  PubMed  CAS  Google Scholar 

  36. Pollack IF. (1994) Brain tumors in children. N Engl J Med 331(22):1500–1507

    Article  PubMed  CAS  Google Scholar 

  37. Pollack IF et al (2002) Expression of p53 and prognosis in children with malignant gliomas. N Engl J Med 346(6):420–427

    Article  PubMed  CAS  Google Scholar 

  38. Pollack IF et al (2006) O6-methylguanine-DNA methyl-transferase expression strongly correlates with outcome in childhood malignant gliomas: results from the CCG-945 Cohort. J Clin Oncol 24(21):3431–3437

    Article  PubMed  CAS  Google Scholar 

  39. Pollack IF et al (2003) The influence of central review on outcome associations in childhood malignant gliomas: results from the CCG-945 experience. Neuro Oncol 5(3):197–207

    Article  PubMed  Google Scholar 

  40. Pollack IF, Boyett JM, Finlay JL. (1999) Chemotherapy for highgrade gliomas of childhood. Childs Nerv Syst 15(10):529–544

    Article  PubMed  CAS  Google Scholar 

  41. Puchner MJ et al (2000) Surgery, tamoxifen, carboplatin, and radiotherapy in the treatment of newly diagnosed glio-blastoma patients. J Neurooncol 49(2):147–155

    Article  PubMed  CAS  Google Scholar 

  42. Raffel C et al (1999) Analysis of oncogene and tumor suppressor gene alterations in pediatric malignant astrocytomas reveals reduced survival for patients with PTEN mutations. Clin Cancer Res 5(12):4085–4090

    PubMed  CAS  Google Scholar 

  43. Rickert CH et al (2001) Pediatric high-grade astrocytomas show chromosomal imbalances distinct from adult cases. Am J Pathol 158(4):1525–1532

    Article  PubMed  CAS  Google Scholar 

  44. Sampson JH et al (2003) Progress report of a Phase I study of the intracerebral microinfusion of a recombinant chimeric protein composed of transforming growth factor (TGF)-alpha and a mutated form of the Pseudomonas exotoxin termed PE-38 (TP-38) for the treatment of malignant brain tumors. J Neurooncol 65(1):27–35

    Article  PubMed  Google Scholar 

  45. Saran F. (2002) Recent advances in paediatric neuro- oncology. Curr Opin Neurol 15(6):671–677

    Article  PubMed  Google Scholar 

  46. Sposto R et al (1989) The effectiveness of chemotherapy for treatment of high grade astrocytoma in children: results of a randomized trial. A report from the Childrens Cancer Study Group. J Neurooncol 7(2):165–177

    CAS  Google Scholar 

  47. Tamber MS, Rutka JT. (2003) Pediatric supratentorial highgrade gliomas. Neurosurg Focus 14(2):e1

    Article  PubMed  Google Scholar 

  48. Vertosick FT Jr, Selker RG. (1990) Brain stem and spinal metastases of supratentorial glioblastoma multiforme: a clinical series. Neurosurgery 27(4):516–521; discussion 521–522

    Article  PubMed  Google Scholar 

  49. Wara WM et al (1986) Retreatment of pediatric brain tumors with radiation and misonidazole. Results of a CCSG/RTOG phase I/II study. Cancer 58(8):1636–1640

    Article  PubMed  CAS  Google Scholar 

  50. Ware ML, Berger MS, Binder DK. (2003) Molecular biology of glioma tumorigenesis. Histol Histopathol 18(1):207–216

    PubMed  CAS  Google Scholar 

  51. Wessels PH et al (2003) Supratentorial grade II astrocytoma: biological features and clinical course. Lancet Neurol 2(7):395–403

    Article  PubMed  Google Scholar 

  52. Wilne SH et al (2006) The presenting features of brain tumours: a review of 200 cases. Arch Dis Child 91(6):502–506

    Article  PubMed  CAS  Google Scholar 

  53. Wisoff JH et al (1998) Current neurosurgical management and the impact of the extent of resection in the treatment of malignant gliomas of childhood: a report of the Children's Cancer Group trial no. CCG-945. J Neurosurg 89(1):52–59

    Article  PubMed  CAS  Google Scholar 

  54. Wolff JE et al (2006) Maintenance treatment with interferon-gamma and low-dose cyclophosphamide for pediatric highgrade glioma. J Neurooncol 79(3):315–321

    Article  PubMed  CAS  Google Scholar 

  55. Wolff JE et al (2002) Preradiation chemotherapy for pediat-ric patients with high-grade glioma. Cancer 94(1):264–271

    Article  PubMed  CAS  Google Scholar 

  56. Yung WK et al (2000) A phase II study of temozolomide vs. procarbazine in patients with glioblastoma multiforme at first relapse. Br J Cancer 83(5):588–593

    Article  PubMed  CAS  Google Scholar 

  57. Yung WK et al (1999) Multicenter phase II trial of temozo-lomide in patients with anaplastic astrocytoma or anaplastic oligoastrocytoma at first relapse. Temodal Brain Tumor Group. J Clin Oncol 17(9):2762–2771

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Tarapore, P.E., Banerjee, A., Gupta, N. (2010). Supratentorial High-Grade Gliomas. In: Tonn, JC., Westphal, M., Rutka, J.T. (eds) Oncology of CNS Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02874-8_26

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-02874-8_26

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-02873-1

  • Online ISBN: 978-3-642-02874-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics