New Advances in High-Grade Glioma Research

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: closed (31 August 2023) | Viewed by 1937

Special Issue Editors


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Guest Editor
Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, 00168 Rome, Italy
Interests: brain tumors; glioma/glioblastoma; stem cells; pituitary adenoma; animal models; nerve surgery; neural regeneration; intraoperative neuromonitoring; intraoperative ultrasound

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Guest Editor
Department of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Largo A. Gemelli, 8, 00168 Rome, Italy
Interests: brain tumors; glioma/glioblastoma; stem cells; pituitary adenoma; animal models; nerve surgery; intraoperative neuromonitoring; intraoperative ultrasound
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Special Issue Information

Dear Colleagues,

High-grade gliomas are the most frequent type of primary brain tumor. Notwithstanding their molecular heterogeneity, they share a dismal prognosis and resistance to currently available therapies. In recent years, huge advances have been made in glioma research. Surgery has become more refined, gaining the ability to reliably resect the bulk tumor without damaging healthy brain tissue. Radiotherapy has been revolutionized by technological innovation. Moreover, our understanding of the complex molecular mechanisms underlying gliomagenesis has greatly improved. These latter advances have led to the latest 2021 WHO classification of central nervous system tumors, in which molecular biology substantially contributes to the final, integrated diagnosis. In turn, the molecular sub-classification of gliomas has led to a better prediction of patient prognosis and has fostered a personalized approach to glioma treatment. However, this outbreak of knowledge on glioma has not translated to an improvement of patient outcome. Survival remains dismal in high-grade gliomas, not reaching 18 months in the most malignant histotype, namely, glioblastoma IDH-wildtype.

With this Special Issue, we plan to collect the most recent, innovative and ground-breaking research on high-grade glioma, encompassing surgical, clinical and bio-molecular advances. The final aim is to promote novel and effective treatments for this deadly disease. We thus welcome contributions from surgeons, radiation oncologists, neuro-oncologists, pathologists, molecular biologists, and all professionals involved in high-grade glioma research.

Prof. Dr. Liverana Lauretti
Dr. Quintino Giorgio D'Alessandris
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Cancers is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2900 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • glioma
  • glioblastoma
  • astrocytoma
  • oligodendroglioma
  • surgery
  • radiotherapy
  • chemotherapy
  • molecular biology
  • next-generation sequencing
  • translational research

Published Papers (1 paper)

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17 pages, 2068 KiB  
Systematic Review
A Systematic Review and Meta-Analysis of Supramarginal Resection versus Gross Total Resection in Glioblastoma: Can We Enhance Progression-Free Survival Time and Preserve Postoperative Safety?
by Johannes Wach, Martin Vychopen, Andreas Kühnapfel, Clemens Seidel and Erdem Güresir
Cancers 2023, 15(6), 1772; https://doi.org/10.3390/cancers15061772 - 15 Mar 2023
Cited by 7 | Viewed by 1539
Abstract
To date, gross total resection (GTR) of the contrast-enhancing area of glioblastoma (GB) is the benchmark treatment regarding surgical therapy. However, GB infiltrates beyond those margins, and most tumors recur in close proximity to the initial resection margin. It is unclear whether a [...] Read more.
To date, gross total resection (GTR) of the contrast-enhancing area of glioblastoma (GB) is the benchmark treatment regarding surgical therapy. However, GB infiltrates beyond those margins, and most tumors recur in close proximity to the initial resection margin. It is unclear whether a supramarginal resection (SMR) enhances progression-free survival (PFS) time without increasing the incidence of postoperative surgical complications. The aim of the present meta-analysis was to investigate SMR with regard to PFS and postoperative surgical complications. We searched for eligible studies comparing SMR techniques with conventional GTR in PubMed, Cochrane Library, Web of Science, and Medline databases. From 3158 initially identified records, 11 articles met the criteria and were included in our meta-analysis. Our results illustrate significantly prolonged PFS time in SMR compared with GTR (HR: 11.16; 95% CI: 3.07–40.52, p = 0.0002). The median PFS of the SMR arm was 8.44 months (95% CI: 5.18–11.70, p < 0.00001) longer than the GTR arm. The rate of postoperative surgical complications (meningitis, intracranial hemorrhage, and CSF leaks) did not differ between the SMR group and the GTR group. SMR resulted in longer median progression-free survival without a negative postoperative surgical risk profile. Multicentric prospective randomized trials with a standardized definition of SMR and analysis of neurologic functioning and health-related quality of life are justified and needed to improve the level of evidence. Full article
(This article belongs to the Special Issue New Advances in High-Grade Glioma Research)
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