Raras
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Astrocitoma anaplásico
ORPHA:251589CID-10 · C71.9CID-11 · 2A00.0YDOENÇA RARA

O astrocitoma anaplásico é um tipo raro de tumor cerebral, grave e agressivo, que nasce das células gliais. Quando visto no microscópio, é caracterizado pela presença de muitos astrócitos com formatos e tamanhos variados, e muitas células se dividindo rapidamente. Geralmente, o tumor se espalha para o tecido cerebral vizinho, causa inchaço significativo, pressiona outras partes do cérebro e pode atingir o lado oposto do cérebro. Dependendo de onde o tumor está localizado, os pacientes podem apresentar sinais de aumento da pressão dentro do crânio (como dor de cabeça, vômitos e inchaço no nervo óptico, conhecido como papiledema), convulsões, perda progressiva de funções neurológicas e/ou alterações no comportamento. O tumor é mais frequentemente encontrado nos lobos frontal e temporal (partes da frente e laterais do cérebro), no tronco cerebral e na medula espinhal.

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Introdução

O que você precisa saber de cara

📋

O astrocitoma anaplásico é um tipo raro de tumor cerebral, grave e agressivo, que nasce das células gliais. Quando visto no microscópio, é caracterizado pela presença de muitos astrócitos com formatos e tamanhos variados, e muitas células se dividindo rapidamente. Geralmente, o tumor se espalha para o tecido cerebral vizinho, causa inchaço significativo, pressiona outras partes do cérebro e pode atingir o lado oposto do cérebro. Dependendo de onde o tumor está localizado, os pacientes podem apresentar sinais de aumento da pressão dentro do crânio (como dor de cabeça, vômitos e inchaço no nervo óptico, conhecido como papiledema), convulsões, perda progressiva de funções neurológicas e/ou alterações no comportamento. O tumor é mais frequentemente encontrado nos lobos frontal e temporal (partes da frente e laterais do cérebro), no tronco cerebral e na medula espinhal.

Pesquisas ativas
29 ensaios
423 total registrados no ClinicalTrials.gov
Publicações científicas
2.211 artigos
Último publicado: 2026 Feb 24

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.4
United States
Início
Adult
🏥
SUS: Sem cobertura SUSScore: 0%
CID-10: C71.9
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Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico2.211PubMed
Últimos 10 anos200publicações
Pico202158 papers
Linha do tempo
2026Hoje · 2026🧪 1989Primeiro ensaio clínico📈 2021Ano de pico
Publicações por ano (últimos 10 anos)

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Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Not applicable.

IDH2Isocitrate dehydrogenase [NADP], mitochondrialBiomarker tested inAltamente restrito
FUNÇÃO

Plays a role in intermediary metabolism and energy production (PubMed:19228619, PubMed:22416140). It may tightly associate or interact with the pyruvate dehydrogenase complex (PubMed:19228619, PubMed:22416140)

LOCALIZAÇÃO

Mitochondrion

VIAS BIOLÓGICAS (4)
Citric acid cycle (TCA cycle)Maturation of TCA enzymes and regulation of TCA cycleMitochondrial protein degradationTranscriptional activation of mitochondrial biogenesis
MECANISMO DE DOENÇA

D-2-hydroxyglutaric aciduria 2

A neurometabolic disorder causing developmental delay, epilepsy, hypotonia, and dysmorphic features. Both a mild and a severe phenotype exist. The severe phenotype is homogeneous and is characterized by early infantile-onset epileptic encephalopathy and cardiomyopathy. The mild phenotype has a more variable clinical presentation. Diagnosis is based on the presence of an excess of D-2-hydroxyglutaric acid in the urine.

EXPRESSÃO TECIDUAL(Ubíquo)
Músculo esquelético
442.8 TPM
Coração - Ventrículo esquerdo
311.5 TPM
Rim - Medula
273.8 TPM
Linfócitos
186.0 TPM
Fígado
184.7 TPM
OUTRAS DOENÇAS (13)
d-2-hydroxyglutaric aciduria 2anaplastic oligodendrogliomagemistocytic astrocytomaoligoastrocytoma
HGNC:5383UniProt:P48735

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 TEMODAR (TEMOZOLOMIDE)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

82 variantes patogênicas registradas no ClinVar.

🧬 IDH2: GRCh38/hg38 15q26.1-26.3(chr15:90068508-101888837)x3 ()
🧬 IDH2: NM_002168.4(IDH2):c.800A>G (p.Gln267Arg) ()
🧬 IDH2: GRCh37/hg19 15q26.1-26.3(chr15:90569376-102369410)x1 ()
🧬 IDH2: NM_002168.4(IDH2):c.448G>C (p.Glu150Gln) ()
🧬 IDH2: NM_002168.4(IDH2):c.1081-60C>G ()
Ver todas no ClinVar

Diagnóstico

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Tratamento e manejo

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Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
2Fase 29
1Fase 18
·Pré-clínico3
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Astrocitoma anaplásico

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Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

16 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

423 ensaios clínicos encontrados, 29 ativos.

Distribuição por fase
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Publicações mais relevantes

Timeline de publicações
650 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 650

#1

Pediatric High-Grade Astrocytoma With Piloid Features: A Comprehensive Literature Review.

Pediatric blood &amp; cancer2026 Mar

High-grade astrocytoma with piloid features (HGAP) is a recently defined central nervous system (CNS) tumor, first introduced into the 2021 World Health Organization (WHO) classification. While predominantly observed in adults, pediatric cases remain rare and poorly characterized. This study aimed to review the epidemiology, clinical features, and molecular profile of pediatric HGAP. A comprehensive review of studies published from 2018 to 2025 was performed to identify methylation-confirmed HGAP cases in patients aged 18 years or younger. Data extracted from studies included subject demographics, tumor location, histological features, molecular alterations, and the implemented treatment sequence. The search identified 17 pediatric cases meeting the inclusion criteria. The median age at diagnosis was 15 years (range: 4-18 years), and a male predilection of approximately twofold was observed. Tumors most commonly arose in the posterior fossa (56.3%). Recurrent molecular alterations included CDKN2A/B loss (75%), FGFR1 mutations or fusions (55.6%), and ATRX loss (45.5%). This review did not identify definitive clinical or histomolecular differences between pediatric and adult HGAP, underscoring the need for further comparative studies. Pediatric HGAP may represent an underrecognized diagnostic entity within the glioma spectrum, emphasizing the critical role of methylation profiling for accurate diagnosis and classification. Retrospective reclassification of histologically and molecularly ambiguous gliomas is warranted and may reveal additional cases. Larger pediatric cohorts are urgently needed to inform clinical management and refine prognostic stratification.

#2

Staining the Invisible: Immunohistochemistry for Early Detection of Mismatch Repair Deficiency in Pediatric High-Grade Brain Tumors.

Pediatric blood &amp; cancer2026 Feb

Constitutional mismatch repair deficiency (CMMRD) is a rare autosomal recessive cancer predisposition syndrome, affecting primarily individuals from consanguineous families, leading to multiple childhood cancers, particularly high-grade central nervous system (CNS) tumors. We retrospectively analyzed 21 pediatric brain tumor samples for mismatch repair (MMR) protein expression via immunohistochemistry (IHC). One patient (4.7%) with anaplastic astrocytoma showed loss of MSH6. CMMRD was confirmed in this case via genetic testing in a sibling. IHC is a practical, low-cost screening tool, especially in resource-limited settings. Routine IHC for MMR proteins in pediatric high-grade CNS tumors may facilitate early CMMRD detection, optimize treatment, and support genetic counseling.

#3

Concurrent and adjuvant temozolomide for 1p/19q non-co-deleted anaplastic glioma (CATNON; EORTC study 26053-22054): final and exploratory analyses of a randomised, open-label, phase 3 trial.

The Lancet. Oncology2026 Jan

The CATNON trial investigated the benefit of the addition of concurrent or adjuvant temozolomide to radiotherapy in individuals with anaplastic astrocytoma. We report the long-term follow-up of the study focusing on the individuals with isocitrate dehydrogenase (IDH) mutated (IDHmt) tumours. This randomised, open-label, phase 3 study in 137 institutions across Australia, Europe, and North America included participants aged 18 years or older with newly diagnosed 1p/19q non-co-deleted anaplastic gliomas and a WHO performance status of 0-2. Participants were randomly assigned (1:1:1:1) centrally using a minimisation technique to radiotherapy alone (59·4 Gy in 33 fractions), radiotherapy with concurrent oral temozolomide (75 mg/m2 per day), radiotherapy with adjuvant oral temozolomide (12 4-week cycles of 150-200 mg/m2 temozolomide given on days 1-5), or radiotherapy with both concurrent and adjuvant temozolomide. Participants were stratified by institution, WHO performance status score, age, 1p loss of heterozygosity, the presence of oligodendroglial elements on microscopy, and MGMT promoter methylation status. The primary endpoint was overall survival adjusted by stratification factors at randomisation in the intention-to-treat population. The eighth amendment of the study protocol (June 27, 2011) incorporated analysis of IDH mutational status into the study. We report the intention-to-treat analysis and the exploratory analysis within the population of participants with astrocytoma with an IDH mutation. As the safety data have been published previously, no safety data are reported. This trial is registered with ClinicalTrials.gov, NCT00626990, and is completed. Between Dec 4, 2007, and Sept 11, 2015, 1407 participants were registered and 751 participants were randomly allocated, 444 of whom were diagnosed with an IDHmt tumour. After a median follow-up for overall survival of 10·9 years (IQR 9·5-12·7), in the intention-to-treat population, adjuvant temozolomide improved overall survival compared with no adjuvant temozolomide (hazard ratio [HR] 0·65 [95% CI 0·54-0·77]), but concurrent did not compared with no concurrent temozolomide (HR 0·91 [0·76-1·08]). In univariable analysis of the participants with an IDHmt tumour, concurrent temozolomide had no statistically significant effect on overall survival (median 9·7 years [8·2-12·5] vs 7·2 years [6·2-9·4]; HR 0·81 [0·63-1·04]), but median overall survival was 12·5 years (95% CI 9·4-15·0) with adjuvant temozolomide compared with 6·0 years (5·1-7·2) with no adjuvant temozolomide (HR 0·54 [0·42-0·69]). No benefit of temozolomide, neither concurrent nor adjuvant, was observed in participants with IDH wild-type tumours. Methylation-based subtyping and several DNA alterations (eg, amplification of PDGFRA and CDK4, homozygous deletion of CDKN2A, and total copy number variation) were associated with worse outcome, none of which was predictive for benefit to temozolomide. Long-term follow-up confirms that radiotherapy followed by 12 cycles of adjuvant temozolomide without concurrent temozolomide during radiotherapy improves survival for individuals with aggressive IDHmt astrocytoma. MSD.

#4

STELLAR: Phase III, Randomized, Open-Label Study of Eflornithine Plus Lomustine Versus Lomustine Alone in Patients With Recurrent Grade 3 Astrocytoma.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology2026 Mar 10

STELLAR (ClinicalTrials.gov identifier: NCT02796261) was a phase III, randomized, open-label trial of eflornithine + lomustine versus lomustine monotherapy in patients with recurrent grade 3 astrocytoma. At trial initiation, eligibility criteria included: age ≥18 years, anaplastic astrocytoma (2016 WHO CNS Tumor classification [WHO CNS4]), first recurrence ≥6 months after radiation and temozolomide (TMZ), Karnofsky performance status ≥70, and no imaging findings consistent with grade 4 glioblastoma. Random assignment (1:1) was stratified by isocitrate dehydrogenase (IDH) mutation, age, resection extent, and geography. Patients received eflornithine (2.8 g/m2 orally, every 8 hours [2 weeks on, 1 week off]) + lomustine (90 mg/m2 orally, once every 6 weeks), or lomustine monotherapy (110 mg/m2 once every 6 weeks). The primary end point was overall survival (OS). Among 343 patients randomly assigned across 74 sites in eight countries, there was no difference in survival between eflornithine + lomustine and lomustine monotherapy (median OS 23.4 v 20.3 months, hazard ratio [HR], 0.94). Following changes in classification and grading in the 2021 WHO CNS5, a subset analysis of patients with IDH-mutant, grade 3 astrocytoma (n = 196), defined in 2024, before unblinding, showed clinically meaningful improvements in median OS with eflornithine + lomustine versus lomustine monotherapy (34.9 v 23.5 months, HR, 0.64) and median progression-free survival (PFS, 15.8 v 7.2 months, HR, 0.57). No differences were observed among patients with CNS grade 4 disease. Grade ≥3 treatment-emergent adverse events of relevance were related to reversible myelosuppression (eflornithine + lomustine 42% v lomustine monotherapy 29% of patients) and hearing impairment (24% v 0%). No new safety signals were identified. Clinically meaningful improvements were observed; eflornithine + lomustine doubled PFS and improved OS in patients with recurrent IDH-mutant, grade 3 astrocytoma, but not grade 4 tumors, after prior radiotherapy and TMZ, consistent with its cytostatic mechanism of action.

#5

Multifocal anaplastic astrocytoma mimicking primary central nervous system lymphoma: A case report.

Medicine2026 Jan 02

Multifocal anaplastic astrocytoma (MAA) is exceedingly rare. The atypical clinical symptoms and imaging characteristics pose significant challenges for accurate clinical diagnosis. A 64-year-old woman presented with clinical symptoms persisting for 3 months, characterized by left-sided facial numbness, an unsteady gait that was lateralized, progressive worsening of incomplete closure of the left eye, dysphagia, and episodes of choking. Based on her clinical symptoms and magnetic resonance imaging (MRI), she was misdiagnosed as primary central nervous system lymphoma. Three months later, her clinical symptoms worsened, and she was admitted to neurosurgery where she underwent a stereotactic biopsy of the left cerebellar hemisphere. Histopathological examination and immunohistochemical analysis were consistent with anaplastic astrocytoma, IDH wild-type status, classified as World Health Organization grade 3. MAA exhibits a rapid progression and is associated with a poor prognosis. Clinicians must enhance their understanding of the MRI manifestations of MAA. Moreover, when MRI findings are insufficient to establish a definitive diagnosis, brain stereotactic examination becomes essential.

Publicações recentes

Ver todas no PubMed

📚 EuropePMC346 artigos no totalmostrando 197

2026

Pediatric High-Grade Astrocytoma With Piloid Features: A Comprehensive Literature Review.

Pediatric blood &amp; cancer
2025

Behavioral Changes and Refractory Hypertension as the First Manifestations of Anaplastic Astrocytoma: A Case Report.

Cureus
2026

Multifocal anaplastic astrocytoma mimicking primary central nervous system lymphoma: A case report.

Medicine
2026

A congenital infant-type hemispheric glioma case with EML4::ALK fusion.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2025

Dabrafenib in pediatric patients with BRAF V600 mutation-positive high-grade glioma: Results from a phase 1/2a single-arm study.

Neuro-oncology practice
2026

Staining the Invisible: Immunohistochemistry for Early Detection of Mismatch Repair Deficiency in Pediatric High-Grade Brain Tumors.

Pediatric blood &amp; cancer
2026

Concurrent and adjuvant temozolomide for 1p/19q non-co-deleted anaplastic glioma (CATNON; EORTC study 26053-22054): final and exploratory analyses of a randomised, open-label, phase 3 trial.

The Lancet. Oncology
2026

STELLAR: Phase III, Randomized, Open-Label Study of Eflornithine Plus Lomustine Versus Lomustine Alone in Patients With Recurrent Grade 3 Astrocytoma.

Journal of clinical oncology : official journal of the American Society of Clinical Oncology
2025

Designing a web-based platform for dynamic estimation of individualized conditional survival in grade 3 gliomas.

Discover oncology
2025

Gliadel use in a pregnant patient with malignant glioma: a case report.

Frontiers in oncology
2025

Epidemiological characteristics and prognostic factors of high-grade brainstem glioma for all ages and the establishment of a nomogram.

Translational cancer research
2025

Anticancer properties of new flavonoid lensoside Aβ in combination with temozolomide in an in vitro model of human glioma cells.

Brain research
2026

Low-Dose Fractionated Radiation Therapy as a Chemopotentiator of Temozolomide for Recurrent Anaplastic Astrocytoma and Glioblastoma: A Single-Arm Phase 1/2 Trial.

International journal of radiation oncology, biology, physics
2025

Severe Chemoradiotherapy Toxicity in a Pediatric Patient with Leigh Syndrome and Grade IV Isocitrate Dehydrogenase-Mutant Astrocytoma: A Case Report.

The American journal of case reports
2025

The effect of oncolytic virotherapy on pediatric brain tumor- a systematic review.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2025

Revisiting pediatric HGGs and PNETs according to the WHO CNS5 criteria: A clinical and genomic retrospective analysis.

Neuro-oncology advances
2025

Safety assessment of temozolomidee: real-world adverse event analysis from the FAERS database.

Frontiers in pharmacology
2025

In silico analysis reveals distinct changes in markers of epithelial to mesenchymal transition in glioma subtypes.

Biomolecules &amp; biomedicine
2025

Integrated single cell spatial multi-omics landscape of WHO grades 2-4 diffuse gliomas identifies locoregional metabolomic regulators of glioma growth.

bioRxiv : the preprint server for biology
2025

Risk of brain and other central nervous system tumors in Danish agricultural workers.

International archives of occupational and environmental health
2025

Drug adverse events associated with temozolomide administration: A real-world pharmacovigilance study using the FAERS database from 2014 to 2024.

Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners
2025

Shared decision-making interventions in neuro-oncology practice: a systematic review.

Journal of neuro-oncology
2025

Persistent symmetrical white matter hyperintensities: a case report.

Journal of medical case reports
2025

Cell-Specific Vulnerability of Human Glioblastoma and Astrocytoma Cells to Mephedrone-An In Vitro Study.

Molecules (Basel, Switzerland)
2025

Nephrogenic Diabetes Insipidus Associated with Temozolomide Therapy in a Patient with Grade IV Astrocytoma.

European journal of case reports in internal medicine
2025

Surgical outcomes in high-grade adult type diffuse gliomas (ATDG) with a previous diagnosis of anaplastic astrocytoma without adjuvant therapy.

Clinical neurology and neurosurgery
2025

Novel strategy to target glioblastoma-initiating cells using a braintropic adeno-associated virus carrying a miR-dependent genome-editing system.

British journal of cancer
2025

Impact of IDH mutation and adjuvant chemo(radio)therapy on survival outcome in grade II/III astrocytoma: a retrospective cohort study based on SEER database.

Annals of medicine and surgery (2012)
2025

Comprehensive Molecular Analysis in NRG Oncology/RTOG 9813: A Phase 3 Study of Radiation and Temozolomide Versus Radiation and BCNU/CCNU in Anaplastic Astrocytoma.

International journal of radiation oncology, biology, physics
2025

Phase 1 trial of hypofractionated stereotactic re-irradiation in combination with nivolumab, ipilimumab, and bevacizumab for recurrent high-grade gliomas.

Neuro-oncology advances
2025

Radiosensitizing properties of dual-functionalized carbon nanostructures loaded with temozolomide.

Beilstein journal of nanotechnology
2025

Integrating nutritional status and hematological biomarkers for enhanced prognosis prediction in glioma patients: A systematic review.

Clinical nutrition ESPEN
2025

Frequency and Impact of Constitutional Mismatch Repair Deficiency in Patients With High-Grade Glioma, a Retrospective Analysis of 7 Years in Pakistan: an IRRDC Study.

JCO global oncology
2025

A phase I study of convection-enhanced delivery (CED) of liposomal-irinotecan using real-time magnetic resonance imaging in patients with recurrent high-grade glioma.

Journal of neuro-oncology
2024

Free-hand Frameless Pinless Electromagnetic-Navigation (AXIEM™)-Guided Brain Lesion Biopsies: An Institution Based Experience from a Low-Middle-Income Country.

Pakistan journal of medical sciences
2024

Q-Ball high-resolution fiber tractography: Optimizing corticospinal tract delineation near gliomas and its role in the prediction of postoperative motor deficits- A proof of concept study.

Brain &amp; spine
2024

Stereotactic Photodynamic Therapy of Recurrent Malignant Gliomas.

Sovremennye tekhnologii v meditsine
2025

The engagement of Ras/Raf/MEK/ERK and PLCγ1/PKC pathways regulated by TrkB receptor in resistance of glioma cells to elimination upon apoptosis induction.

Neuropharmacology
2024

High-grade astrocytoma with piloid features in the conus medullaris: a rare presentation of a new World Health Organization diagnosis. Illustrative case.

Journal of neurosurgery. Case lessons
2024

Epidemiology and survival of primary intracranial malignant tumor patients with drop metastasis: a population-based analysis.

Acta neurochirurgica
2025

Proapoptotic and antimigration properties of osthole in combination with LY294002 against human glioma cells.

Naunyn-Schmiedeberg's archives of pharmacology
2024

hERG channel agonist NS1643 strongly inhibits invasive astrocytoma cell line SMA-560.

PloS one
2024

Focused ultrasound blood-brain barrier disruption in high-grade gliomas: Scoping review of clinical studies.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
2024

Survival After Newly-Diagnosed High-Grade Glioma Surgery: What Can We Learn From the French National Healthcare Database?

Brain tumor research and treatment
2024

Deep Residual Learning-Based Classification with Identification of Incorrect Predictions and Quantification of Cellularity and Nuclear Morphological Features in Digital Pathological Images of Common Astrocytic Tumors.

Cancers
2024

Global post‑marketing safety surveillance of Tumor Treating Fields (TTFields) therapy in over 25,000 patients with CNS malignancies treated between 2011-2022.

Journal of neuro-oncology
2024

Practical Nomograms and Risk Stratification System for Predicting the Overall and Cancer-specific Survival in Patients with Anaplastic Astrocytoma.

World neurosurgery
2024

TRIM24 Cooperates with Ras Mutation to Drive Glioma Progression through snoRNA Recruitment of PHAX and DNA-PKcs.

Advanced science (Weinheim, Baden-Wurttemberg, Germany)
2024

Development of Predicting Nomograms for Diffuse Astrocytoma and Anaplastic Astrocytoma: A Study Based on the Surveillance, Epidemiology, and End Results Database.

World neurosurgery
2024

Grading of glioma tumors using digital holographic microscopy.

Heliyon
2024

Modular Hub Genes in DNA Microarray Suggest Potential Signaling Pathway Interconnectivity in Various Glioma Grades.

Biology
2024

Volumetric Response and Survival of Patients With Bulky IDH-Mutated Grade 3 Glioma Managed With FET-FDG-Guided Integrated Boost IMRT.

Clinical oncology (Royal College of Radiologists (Great Britain))
2024

RAF inhibitor re-challenge therapy in BRAF-aberrant pan-cancers: the RE-RAFFLE study.

Molecular cancer
2023

Case report: Diagnostic challenge: a new multiple sclerosis "relapse" leading to the diagnosis of anaplastic astrocytoma.

Frontiers in neurology
2024

Treatment outcome of IDH1/2 wildtype CNS WHO grade 4 glioma histologically diagnosed as WHO grade II or III astrocytomas.

Journal of neuro-oncology
2024

Expression of lncRNAs in glioma: A lighthouse for patients with glioma.

Heliyon
2024

Bilateral thalamic and brainstem anaplastic astrocytoma: A case report.

Medicine
2024

From molecular signatures to radiomics: tailoring neurooncological strategies through forecasting of glioma growth.

Neurosurgical focus
2024

Survival Analysis and Correlates with Molecular Epidemiology: 10-Year Retrospective Series of High-Grade Glioma in Pakistan.

Journal of cancer &amp; allied specialties
2024

Furanocoumarins as Enhancers of Antitumor Potential of Sorafenib and LY294002 toward Human Glioma Cells In Vitro.

International journal of molecular sciences
2024

A phase 1 study of mebendazole with bevacizumab and irinotecan in high-grade gliomas.

Pediatric blood &amp; cancer
2024

Zotiraciclib (TG02) for newly diagnosed glioblastoma in the elderly or for recurrent glioblastoma: The EORTC 1608 STEAM trial.

European journal of cancer (Oxford, England : 1990)
2024

Lower Plasma Amyloid Beta - 42 Levels Associated With Worse Survival in Patients With Glioma.

In vivo (Athens, Greece)
2023

The Role of Bcl-2 and Beclin-1 Complex in "Switching" between Apoptosis and Autophagy in Human Glioma Cells upon LY294002 and Sorafenib Treatment.

Cells
2023

Non-invasive diagnosis of brain gliomas by histological type using neuroradiomics in standardized regions of interest: towards digital biopsy.

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2025

5-Aminolevulinic acid fluorescence-guided endoscopic surgery for deep-seated intraparenchymal tumors.

British journal of neurosurgery
2024

The use of sodium MRI in the diagnosis of an anaplastic astrocytoma during immunotherapy: a case report.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2023

LncRNA-associated competing endogenous RNA network analysis uncovered key lncRNAs involved in temozolomide resistance and tumor recurrence of glioblastoma.

Journal of molecular recognition : JMR
2023

Brief report: pediatric high-grade gliomas treated with vinorelbine and valproic acid added to temozolomide.

American journal of cancer research
2023

Prognosis of overall and disease-free survival in patients with grade 3 astrocytomas (anaplastic astrocytoma, WHO 2016).

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2023

Constitutional Mismatch Repair Deficiency (CMMRD) Syndrome: A Case Report of a Patient With Multiple Metachronous Malignancies.

Cureus
2024

Temozolomide and flavonoids against glioma: from absorption and metabolism to exosomal delivery.

Naunyn-Schmiedeberg's archives of pharmacology
2023

Diagnostic algorithm for pathological evaluation of gliomas in a resource-constrained setting.

Journal of cancer research and therapeutics
2023

Integrative management of anaplastic astrocytoma through a combination of Ayurveda and conventional care: A case report.

Journal of Ayurveda and integrative medicine
2023

Anlotinib as Monotherapy or Combination Therapy for Recurrent High-Grade Glioma: A Retrospective Study.

Clinical Medicine Insights. Oncology
2023

A Prospective Study of Intensity-modulated Radiation Therapy Using a Standard Radiation Dose for High-grade Glioma.

Cancer diagnosis &amp; prognosis
2023

A Case of High-Grade Glioma in an Eloquent Area Treated with Awake Craniotomy in an 85-year-old Patient.

Acta medica Okayama
2023

Prostate-Specific Membrane Antigen (PSMA) Expression in The Neovasculature of High Grade Gliomas (Histopathological and Immunohistochemical Study).

Asian Pacific journal of cancer prevention : APJCP
2023

DIPG-like MYB-altered diffuse astrocytoma with durable response to intensive chemotherapy.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2023

Role of cyclin D1 in glial tumors-A retrospective and observational study.

Indian journal of pathology &amp; microbiology
2023

Feasibility of preirradiation temozolomide in cases of high-grade gliomas: Our experience and review of literature.

Journal of cancer research and therapeutics
2023

Recombinant polio-rhinovirus immunotherapy for recurrent paediatric high-grade glioma: a phase 1b trial.

The Lancet. Child &amp; adolescent health
2023

Demographic variations and time to initiation of adjunct treatment following surgical resection of anaplastic astrocytoma in the United States: a National Cancer Database analysis.

Journal of neuro-oncology
2023

Evaluation of Possible Neobavaisoflavone Chemosensitizing Properties towards Doxorubicin and Etoposide in SW1783 Anaplastic Astrocytoma Cells.

Cells
2023

Is Autophagy Inhibition in Combination with Temozolomide a Therapeutically Viable Strategy?

Cells
2022

Prolonged survival in patients with local chronic infection after high-grade glioma treatment: Two case reports.

Frontiers in oncology
2023

Intraoperative Ventricular Opening has No Effect on Complication Development Following BCNU Wafer Implantation for Malignant Glioma.

World neurosurgery
2022

Carbon-ion radiotherapy boost with standard dose proton radiation for incomplete-resected high-grade glioma: a phase 1 study.

Annals of translational medicine
2022

The feasibility of MRI texture analysis in distinguishing glioblastoma, anaplastic astrocytoma and anaplastic oligodendroglioma.

Translational cancer research
2022

Photodynamic therapy for malignant brain tumors in children and young adolescents.

Frontiers in oncology
2022

Alterations in white matter fiber density associated with structural MRI and metabolic PET lesions following multimodal therapy in glioma patients.

Frontiers in oncology
2022

Malignant transformation in low-grade astrocytoma for long-term monitoring.

Journal of cancer research and therapeutics
2022

Neuro-Physiotherapy Regimen to Enhance the Functional Performance of a Hemiplegic Patient Following Brain Tumor Resection: A Case Report.

Cureus
2022

Posterior Reversible Encephalopathy Syndrome Developing after Aggressive Posterior Fossa Tumor Surgery.

Asian journal of neurosurgery
2023

Relationship between RANO-PRO Working Group standardised priority constructs and disease progression among malignant glioma patients: A retrospective cohort study.

EClinicalMedicine
2023

Global survival trends for brain tumors, by histology: analysis of individual records for 556,237 adults diagnosed in 59 countries during 2000-2014 (CONCORD-3).

Neuro-oncology
2022

Endoscopic resection of thalamic lesions via supracerebellar infratentorial approach: a case series and technical note.

Neurosurgical review
2022

Role of TERT mutation for treatment prognosis in patients with IDH-negative anaplastic astrocytoma.

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2022

Expression of CD133 Cancer Stem Cell Marker in IDH-Mutant and IDH-wildtype (Isocitrate Dehydrogenase) Astrocytoma.

Asian Pacific journal of cancer prevention : APJCP
2022

A rare brainstem anaplastic astrocytoma.

Translational neuroscience
2022

Navigated 3D ultrasound-guided resection of high-grade gliomas: A case series and review.

Surgical neurology international
2022

True anaplastic oligoastrocytoma with dual genotype: illustrative case.

Journal of neurosurgery. Case lessons
2022

Radiosurgery and Stereotactic Brain Radiotherapy with Systemic Therapy in Recurrent High-Grade Gliomas: Is It Feasible? Therapeutic Strategies in Recurrent High-Grade Gliomas.

Journal of personalized medicine
2022

Corrigendum: The risk of heart disease-related death among anaplastic astrocytoma patients after chemotherapy: A SEER population-based analysis.

Frontiers in oncology
2022

Comprehensive metabolomics study on the pathogenesis of anaplastic astrocytoma via UPLC-Q/TOF-MS.

Medicine
2022

Diagnostic yield of simultaneous dynamic contrast-enhanced magnetic resonance perfusion measurements and [18F]FET PET in patients with suspected recurrent anaplastic astrocytoma and glioblastoma.

European journal of nuclear medicine and molecular imaging
2022

Synthesis of Aliphatic Polyanhydrides with Controllable and Reproducible Molecular Weight.

Pharmaceutics
2022

Brain Gliomas and Ollier Disease: Molecular Findings as Predictive Risk Factors?

Cancers
2022

Risk Factors Associated with Malignant Transformation of Astrocytoma: Competing Risk Regression Analysis.

Asian journal of neurosurgery
2022

Usefulness of circulating tumor DNA from cerebrospinal fluid in recurrent high-grade glioma.

Revue neurologique
2023

Influence of county-level geographic/ancestral origin on glioma incidence and outcomes in US Hispanics.

Neuro-oncology
2022

A case of Lewy body disease and anaplastic astrocytoma presenting with atypical parkinsonism.

Neuropathology : official journal of the Japanese Society of Neuropathology
2022

The Risk of Heart Disease-Related Death Among Anaplastic Astrocytoma Patients After Chemotherapy: A SEER Population-Based Analysis.

Frontiers in oncology
2022

H3K27M-Altered Diffuse Midline Gliomas Among Adult Patients: A Systematic Review of Clinical Features and Survival Analysis.

World neurosurgery
2022

Application of 7T MRS to High-Grade Gliomas.

AJNR. American journal of neuroradiology
2022

Analysis of the Prognosis of High-Grade gliomas in the View of New Immunohistochemistry Markers and 2016 WHO Classification.

Turkish neurosurgery
2022

Giant Pediatric Supratentorial Tumor: Clinical Feature and Surgical Strategy.

Frontiers in pediatrics
2022

Good seizure outcome after focal resection surgery for super-refractory status epilepticus: Report of two cases.

Surgical neurology international
2022

Remote bifrontal epidural hematoma following hemispheric glioma resection. A rare life-threatening postoperative complication.

Surgical neurology international
2022

Assessment of therapeutic outcome and role of reirradiation in patients with radiation-induced glioma.

Radiation oncology (London, England)
2022

ATRX-Deficient High-Grade Glioma Cells Exhibit Increased Sensitivity to RTK and PDGFR Inhibitors.

Cancers
2022

Upfront molecular targeted therapy for the treatment of BRAF-mutant pediatric high-grade glioma.

Neuro-oncology
2022

Phase I Study of High-Dose L-methylfolate in Combination with Temozolomide and Bevacizumab in Recurrent IDH wild-type High-Grade Glioma.

Cancer research communications
2022

Ischemic Stroke with Multiple Cerebral Artery Stenosis in a Patient with an Anaplastic Astrocytoma during Bevacizumab Treatment: A Case Report.

NMC case report journal
2022

Correlation of Intraoperative 5-ALA-Induced Fluorescence Intensity and Preoperative 11C-Methionine PET Uptake in Glioma Surgery.

Cancers
2022

5-Aminolevulinic acid-enhanced fluorescence-guided treatment of high-grade glioma using angled endoscopic blue light visualization: technical case series with preliminary follow-up.

Journal of neurosurgery
2022

Bisulfite profiling of the MGMT promoter and comparison with routine testing in glioblastoma diagnostics.

Clinical epigenetics
2022

TERT expression increases with tumor grade in a cohort of IDH-mutant gliomas.

American journal of translational research
2022

Bevacizumab plus irinotecan with or without gamma knife radiosurgery after failure of concurrent chemo-radiotherapy for high-grade glioma.

Journal of neuro-oncology
2021

Case report: tumor-treating fields prolongs IDH-mutant anaplastic astrocytoma progression-free survival and pathological evolution to glioblastoma.

Annals of translational medicine
2022

FISH analyses for 1p and 19q status on gliomas: Reporting an 8 years' experience from a tertiary care center in the Middle East.

Annals of diagnostic pathology
2022

Large tumour volume reduction of IDH-mutated anaplastic glioma involving the insular region following radiotherapy.

BMC neurology
2022

Maximum 11C-methionine PET uptake as a prognostic imaging biomarker for newly diagnosed and untreated astrocytic glioma.

Scientific reports
2021

Bilateral Thalamic Glioma: A Case Report.

Cureus
2021

Plasma-Derived Extracellular Vesicles Reveal Galectin-3 Binding Protein as Potential Biomarker for Early Detection of Glioma.

Frontiers in oncology
2021

Hormone exposure and its suppressive effect on risk of high-grade gliomas among patients with breast cancer.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
2021

Hypermethylation of the Promoter of miR-338-5p Mediates Aberrant Expression of ETS-1 and Is Correlated With Disease Severity Of Astrocytoma Patients.

Frontiers in oncology
2021

Fractal analysis of 11C-methionine PET in patients with newly diagnosed glioma.

EJNMMI physics
2020

Related expression of TRKA and P75 receptors and the changing copy number of MYC-oncogenes determine the sensitivity of brain tumor cells to the treatment of the nerve growth factor in combination with cisplatin and temozolomide.

Drug metabolism and personalized therapy
2021

Cerebrospinal fluid cytokine levels are associated with macrophage infiltration into tumor tissues of glioma patients.

BMC cancer
2022

Ga-68 PSMA PET/CT in recurrent high-grade gliomas: evaluating PSMA expression in vivo.

Neuroradiology
2022

Clinical-pathological study of 28 glial and mixed neuronal-glial tumors diagnosed within the first year of life.

Clinical neuropathology
2021

Aggressively recurring cervical intramedullary anaplastic astrocytoma in a pregnant patient.

Surgical neurology international
2021

Cognitive awareness after treatment for high-grade glioma.

Clinical neurology and neurosurgery
2021

Intramedullary Spinal Cord Metastasis Mimicking Astrocytoma: A Rare Case Report.

Brain sciences
2021

Atomic Force Microscope Nanoindentation Analysis of Diffuse Astrocytic Tumor Elasticity: Relation with Tumor Histopathology.

Cancers
2021

Leptomeningeal dissemination of anaplastic medullary cone astrocytoma: an unexpected findings in a patient with leptomeningeal enhancement and clinical history of multiple myeloma.

Pathologica
2021

Prognostic factors and clinical nomogram predicting survival in high-grade glioma.

Journal of cancer research and therapeutics
2021

Radiation Therapy for Grade 3 Gliomas: Correlation of MRI Findings With Prognosis.

Cureus
2021

Slow Off-Rate Modified Aptamer (SOMAmer) Proteomic Analysis of Patient-Derived Malignant Glioma Identifies Distinct Cellular Proteomes.

International journal of molecular sciences
2021

[Anaplastic astrocytoma and anaplastic oligodendroglioma of the brain: current state of the problem].

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2021

Treatment of anaplastic gliomas: evidences and controversies.

Current opinion in oncology
2021

Multifocal high-grade glioma radiotherapy safety and efficacy.

Radiation oncology (London, England)
2023

Intracranial high-grade glioma with malignant progression of spinal intramedullary metastasis: an atypical presentation with review of literature.

British journal of neurosurgery
2021

Cerebellar anaplastic astrocytoma in adult patients: 15 consecutive cases from a single institution and literature review.

Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia
2021

Rapid Spectroscopic Liquid Biopsy for the Universal Detection of Brain Tumours.

Cancers
2021

Surgical considerations for maximal safe resection of exophytic brainstem glioma in the pediatric age group.

Surgical neurology international
2021

A rare, pediatric, fourth-ventricular, anaplastic astrocytoma.

Radiology case reports
2021

Molecularly targeted treatment of recurrent anaplastic astrocytoma - a case report.

Annals of clinical and translational neurology
2021

Remission of Pediatric Diffuse Intrinsic Pontine Glioma: Case Report and Review of the Literature.

Journal of pediatric neurosciences
2021

Proton re-irradiation of unresectable recurrent brain gliomas: clinical outcomes and toxicity.

Journal of B.U.ON. : official journal of the Balkan Union of Oncology
2022

Biocatalytic Synthesis of Terpene Esters and their Biological Activity in Human Glioma Cells.

Current pharmaceutical biotechnology
2021

LY294002 and sorafenib as inhibitors of intracellular survival pathways in the elimination of human glioma cells by programmed cell death.

Cell and tissue research
2021

Neural stem cell delivery of an oncolytic adenovirus in newly diagnosed malignant glioma: a first-in-human, phase 1, dose-escalation trial.

The Lancet. Oncology
2021

The Dilemma of Multifocality in Insular Tumors: Multicentricity versus Metastasis.

Asian journal of neurosurgery
2021

Serum Exosomal microRNA-21, 222 and 124-3p as Noninvasive Predictive Biomarkers in Newly Diagnosed High-Grade Gliomas: A Prospective Study.

Cancers
2021

Clinicopathological Profile of Central Nervous System Tumors in a Tertiary Hospital in Southwest Nigeria.

Journal of the West African College of Surgeons
2021

Differential expression of stem cell markers in proliferating cells in glioma.

Journal of cancer research and clinical oncology
2022

Modification of MRI pattern of high-grade glioma pseudoprogression in regorafenib therapy.

Journal of medical imaging and radiation oncology
2021

Estimation of the occurrence rates of IDH1 and IDH2 mutations in gliomas and the reconsideration of IDH-wildtype anaplastic astrocytomas: an institutional experience.

The Journal of international medical research
2021

[Dynamic11C-methionine PET/CT in differential diagnosis of brain gliomas].

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2021

Differentiation of Low-Grade Astrocytoma From Anaplastic Astrocytoma Using Radiomics-Based Machine Learning Techniques.

Frontiers in oncology
2021

Molecular biomarkers and integrated pathological diagnosis in the reclassification of gliomas.

Molecular and clinical oncology
2021

SMARCAL1 loss and alternative lengthening of telomeres (ALT) are enriched in giant cell glioblastoma.

Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc
2021

Molecular investigation of brain tumors progressing during pregnancy or postpartum period: the association between tumor type, their receptors, and the timing of presentation.

Clinical neurology and neurosurgery
2021

Immunohistochemical screening for mismatch repair protein deficiency in paediatric high-grade gliomas - institutional experience and review of literature.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2021

Lensoside Aβ as an Adjuvant to the Anti-Glioma Potential of Sorafenib.

Cancers
2021

Involvement of PI3K Pathway in Glioma Cell Resistance to Temozolomide Treatment.

International journal of molecular sciences
2021

Hypermetabolism and impaired cerebrovascular reactivity beyond the standard MRI-identified tumor border indicate diffuse glioma extended tissue infiltration.

Neuro-oncology advances
2021

Gliomas - An experience based on molecular markers.

Journal of family medicine and primary care
2021

Benefit of adjuvant, but not concurrent, temozolomide for IDH-mutant anaplastic astrocytoma.

The Lancet. Oncology
2021

Integrated genomic and transcriptomic analysis suggests KRT18 mutation and MTAP are key genetic alterations related to the prognosis between astrocytoma and glioblastoma.

Annals of translational medicine
2021

Should CD4 Levels be Monitored in a Patient on Temozolomide?

European journal of case reports in internal medicine
2022

Case report and literature review: antenatal diagnosis of a fetal anaplastic astrocytoma.

The journal of maternal-fetal &amp; neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
2021

Outcomes of salvage fractionated re-irradiation combined with bevacizumab for recurrent high-grade gliomas that progressed after bevacizumab treatment*.

Japanese journal of clinical oncology
2021

The role of sex genotype in paediatric CNS tumour incidence and survival.

Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery
2021

Nasal-alar invasive cutaneous aspergillosis in a patient with anaplastic astrocytoma: A case report.

Clinical case reports
2021

UV spectroscopic method for estimation of temozolomide: Application in stability studies in simulated plasma pH, degradation rate kinetics, formulation design, and selection of dissolution media.

Spectrochimica acta. Part A, Molecular and biomolecular spectroscopy
2021

Correlation of 4'-[methyl-11C]-thiothymidine PET with Gd-enhanced and FLAIR MRI in patients with newly diagnosed glioma.

EJNMMI research
2021

High-Grade Gliomas in Children-A Multi-Institutional Polish Study.

Cancers
2021

Prognostic significance of genome-wide DNA methylation profiles within the randomized, phase 3, EORTC CATNON trial on non-1p/19q deleted anaplastic glioma.

Neuro-oncology
2021

High-grade astrocytoma with piloid features (HGAP): the Charité experience with a new central nervous system tumor entity.

Journal of neuro-oncology
2020

Radiological evaluation of ex novo high grade glioma: velocity of diametric expansion and acceleration time study.

Radiology and oncology
2021

The Astrogenic Balance in the Aging Brain.

Current neuropharmacology
2021

[Phosphorus MR spectroscopy and 18F-FDG PET/CT in the study of energy metabolism of glial tumors].

Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
2021

Diffusion weighted imaging in high-grade gliomas: A histogram-based analysis of apparent diffusion coefficient profile.

PloS one
2021

CyberKnife for Recurrent Malignant Gliomas: A Systematic Review and Meta-Analysis.

Frontiers in oncology
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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. Pediatric High-Grade Astrocytoma With Piloid Features: A Comprehensive Literature Review.
    Pediatric blood &amp; cancer· 2026· PMID 41549586mais citado
  2. Staining the Invisible: Immunohistochemistry for Early Detection of Mismatch Repair Deficiency in Pediatric High-Grade Brain Tumors.
    Pediatric blood &amp; cancer· 2026· PMID 41454823mais citado
  3. Concurrent and adjuvant temozolomide for 1p/19q non-co-deleted anaplastic glioma (CATNON; EORTC study 26053-22054): final and exploratory analyses of a randomised, open-label, phase 3 trial.
    The Lancet. Oncology· 2026· PMID 41449147mais citado
  4. STELLAR: Phase III, Randomized, Open-Label Study of Eflornithine Plus Lomustine Versus Lomustine Alone in Patients With Recurrent Grade 3 Astrocytoma.
    Journal of clinical oncology : official journal of the American Society of Clinical Oncology· 2026· PMID 41325560mais citado
  5. Multifocal anaplastic astrocytoma mimicking primary central nervous system lymphoma: A case report.
    Medicine· 2026· PMID 41496104mais citado
  6. Dosimetric analysis reveals rapid clearance and low absorbed dose of [¹⁷⁷Lu]Lu-PSMA-617 in non-prostate cancers with high PSMA expression.
    EJNMMI Res· 2026· PMID 41733872recente
  7. Behavioral Changes and Refractory Hypertension as the First Manifestations of Anaplastic Astrocytoma: A Case Report.
    Cureus· 2025· PMID 41510459recente
  8. A congenital infant-type hemispheric glioma case with EML4::ALK fusion.
    Childs Nerv Syst· 2026· PMID 41483402recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:251589(Orphanet)
  2. MONDO:0016684(MONDO)
  3. GARD:5860(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. Q486092(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Astrocitoma anaplásico
Compêndio · Raras BR

Astrocitoma anaplásico

ORPHA:251589 · MONDO:0016684
Prevalência
1-9 / 1 000 000
Herança
Not applicable
CID-10
C71.9 · Neoplasia maligna do encéfalo, não especificado
CID-11
Ensaios
29 ativos
Início
Adult
Prevalência
0.4 (United States)
MedGen
UMLS
C0334579
Repurposing
2 candidatos
carmustineDNA alkylating agent|DNA inhibitor
temozolomideDNA alkylating agent
EuropePMC
Wikidata
Papers 10a
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