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Effects of radiotherapy on the astrocytomatous areas of malignant gliomas

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Summary

Little is known of the histological effects of radiation on low grade astrocytomas, whereas the clinical efficacy of radiotherapy on these tumors is still a matter of discussion. Since it is difficult to have large series of autoptic brains harboring astrocytomas, the wide astrocytomatous areas of conventionally irradiated secondary glioblastomas have been studied in whole mount preparations. It was assumed that these areas were already present at the time of irradiation. In these areas no histologic changes referable to ‘short-term’ effect of radiation have been found. When the astrocytomatous areas were located in the white matter, they were affected by chronic edema, which usually occurs in perighoblastomatous tissue. In one case necrotic foci in the astrocytomatous areas were interpreted as anaplastic foci damaged by radiation; radiotherapy of astrocytomas might therefore result in the eradication of undetected anaplastic foci.

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References

  1. Salazar OM, Rubin P, McDonald Jv, Feldstein ML: Patterns of failure in intracranial astrocytomas after irradiation: analysis of dose and field factors. Am J Roentgenol Rad Ther Nucl Med 126:279–292, 1976.

    Google Scholar 

  2. Walker MD, Strike TA, Sheline GE: An analysis of dose-response relationship in the radiotherapy of malignant gliomas. Int J Radiat Oncol Biol Phys 5:1725–1731, 1979.

    Google Scholar 

  3. Willson N, Duffy PE: Morphologic changes associated with combined BCNU and radiation therapy in glioblastoma multiforme. Neurology (Minneap) 24:465–471, 1974.

    Google Scholar 

  4. Constans JP, Schlienger M: Radiotherapie des tumeurs du système nerveux central de l'adulte. Neurochirurgie (Suppl 2) 21:173–186, 1975.

    Google Scholar 

  5. Gerstner L, Jellinger K, Heiss WD, Wöber G: Morphological changes in anaplastic gliomas treated with radiation and chemotherapy. Acta Neurochir 36:117–138, 1977.

    Google Scholar 

  6. Burger PC, Mahaley MS, Dudka L, Vogel FS: The morphologic effects of radiation administered therapeutically for intracranial gliomas. A post mortem study of 25 cases. Cancer 44:1256–1272, 1979.

    Google Scholar 

  7. Schiffer D, Giordana MT, Buoncristiani P, Paoletti P: Human malignant gliomas treated with chemotherapy: a pathological study. Neurosurgery 3:344–347, 1978.

    Google Scholar 

  8. Schiffer D, Giordana MT, Paoletti P, Soffietti R, Tarenzi L: Pathology of human malignant gliomas after radiation and chemotherapy. Acta Neurochir 53:205–216, 1980.

    Google Scholar 

  9. Schiffer D, Giordana MT, Soffietti R, Tarenzi L, Milani R, Vasario E, Paoletti P: Radio- and chemotherapy of malignant gliomas. Pathological changes in the normal nervous tissue. Acta Neurochir 58:37–58, 1981.

    Google Scholar 

  10. Schiffer D, Giordana MT, Soffietti R, Sciolla R: Histological observations on the regrowth of malignant gliomas after radiotherapy and chemotherapy. Acta Neuropathol (Berl) 58:291–299,1982.

    Google Scholar 

  11. Uihlein A, Colby M Jr, Layton D, Parsons W, Carter T: Comparison of surgery and surgery plus irradiation in the treatment of supratentorial gliomas. Acta Radiol 5:67–78, 1966.

    Google Scholar 

  12. Schulz MD, Wang CC, Zinninger GF, Tefft M: Radiotherapy of intracranial neoplasms. Prog Neurol Surg 2:318–370, 1968.

    Google Scholar 

  13. Leibel SA, Sheline GE, Wara WM, Boldrey EB, Nielsen SL: The role of radiation therapy in the treatment of astrocytomas. Cancer 35:1551–1557, 1975.

    Google Scholar 

  14. Fazekas JT: Treatment of grades I and II brain astrocytomas. The role of radiotherapy. Int J Radiat Oncol Biol Phys 2:661–666, 1977.

    Google Scholar 

  15. Laws ER Jr: The management of low-grade astrocytomas. Abstract US-Japanese Conference on Brain Tumor Therapy, 55, Nikko, October 14–16, 1981.

  16. Yamashita J: Radiotherapy for well differentiated gliomas. Abstract US-Japanese Conference on Brain Tumor Therapy, 56, Nikko, October 14–16, 1981.

  17. Glanzmann CH, Peters J, Horst W, Freide R: Indikationen und Ergebnisse der Radiotherapie in der Behandlung von Astrozitomen. Strahlentherapie 156:382–387, 1980.

    Google Scholar 

  18. Scanlon PW, Taylor WF: Radiotherapy of intracranial astrocytomas: analysis of 417 cases treated from 1960 through 1969. Neurosurgery 5:301–308, 1979.

    Google Scholar 

  19. Rutten EH, Kazem I, Slooff JL, Walder AH: Postoperative radiation therapy in the management of brain astrocytomata. Retrospective study of 142 patients. Int J Radiat Oncol Biol Phys 7:191–195, 1981.

    Google Scholar 

  20. Mundinger F, Ostertag CB, Birg W, Weigel K: Stereotactic treatment of brain lesions. Biopsy, interstitial radiotherapy (Iridium-192 and Iodine-125) and drainage procedures. Appl Neurophysiol 43:198–204, 1980.

    Google Scholar 

  21. Szikla G, Betti O, Szenthe L, Schlienger M: L'expérience actuelle des irradiations stereo taxiques dans letraitement des gliomes hémisphériques. Neurochirurgie 27:295–298, 1981.

    Google Scholar 

  22. Scherer HJ: Critical review: the pathology of cerebral gliomas. J Neurol Psych 3:147–177, 1940.

    Google Scholar 

  23. Manuelidis EE, Solitare GB: Glioblastoma multiforme. In: Minckler J (ed) Pathology of the nervous system. Vol 2. McGraw-Hill, New York, 1971, pp 2026–2071.

    Google Scholar 

  24. Russell DS, Rubinstein LJ: Pathology of Tumours of the Nervous System. Edward Arnold, London, 1977, p 146.

    Google Scholar 

  25. Hoshino T: Therapeutic implications of brain tumor cell kinetics. Natl Cancer Inst Mono 46:29–35, 1977.

    Google Scholar 

  26. Steel GG: Growth kinetics of brain tumours. In: Thomas DGT, Graham DI (eds) Brain tumours. Scientific basis, clinical investigation and current therapy. Butterworths, London, 1980, pp 10–20.

    Google Scholar 

  27. Takeuchi K, Hoshino K: Statistical analysis of factors affecting survival after multiforme. Acta Neurochir 37:57–73,1977.

    Google Scholar 

  28. Schiffer D, Cavicchioli D, Giordana MT, Palmucci L, Piazza A: Analysis of some factors affecting survival in malignant gliomas. Tumori 65:119–125, 1979.

    Google Scholar 

  29. Alexander P: Comparison of the mode of action by which some alkylating agents and ionizing radiations kill mammalian cells. Ann NY Acad Sci 163:652–675, 1969.

    Google Scholar 

  30. Marks JE, Baglan RJ, Prassad SC, Blank WF: Cerebral radionecrosis: incidence and risk in relation to dose, time, fractionation and volume. Int J Radiat Oncol Biol Phys 7:243–252, 1981.

    Google Scholar 

  31. Kiessling M, Kleihues P, Mundinger F, Ostertag CB, Weigel K: Morphologic findings after permanent interstitial IR-192 and I-125 radiation therapy. Abstract VIth Meeting of the European Society for Stereotactic and Functional Neurosurgery, T7, Roma, June 2–4, 1983.

  32. Bernstein M, Gutin PH: Interstitial irradiation of brain tumors: a review. Neurosurgery 9:741–750, 1981.

    Google Scholar 

  33. Caveness WF: Experimental observations: delayed necrosis in normal monkey brain. In: Gilbert HA, Kagan AR (eds) Radiation damage to the nervous system. A delayed therapeutic hazard. Raven Press, New York, 1980, pp 1–38.

    Google Scholar 

  34. Ilena JF, Cespedes G, Hirano A, Zimmerman HM, Feiring EH, Fine D: Vascular alterations in delayed radiation necrosis of the brain. An electron microscopical study. Arch Pathol Lab Med 100:531–534, 1976.

    Google Scholar 

  35. Matsumura H, Ross ER: Delayed cerebral radionecrosis following treatment of carcinoma of the scalp: clinico-pathological and ultrastructural study. Surg Neurol 12:193–204, 1979.

    Google Scholar 

  36. McDonald LW, Hayes TL: The role of capillaries in the pathogenesis of delayed radionecrosis of brain. Am J Path 50:745–758, 1967.

    Google Scholar 

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Partially supported by A.I.R.C. (Italian Association for Cancer Research), Grant No. 21, Regione Piemonte, 1983 and C.N.R. Grant No. 83.00949.96 (Control of Neoplastic Growth).

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Schiffer, D., Giordana, M., Soffietti, R. et al. Effects of radiotherapy on the astrocytomatous areas of malignant gliomas. J Neuro-Oncol 2, 167–175 (1984). https://doi.org/10.1007/BF00253268

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