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Table 1 Clinical features of four children with high-grade astrocytoma

From: ADAR2 editing activity in newly diagnosed versus relapsed pediatric high-grade astrocytomas

 

Case 1

Case 2

Case 3

Case 4

Sex

F

M

M

F

Age at diagnosis

≤ 13 years

≤ 12 years

≤ 8 years

≤ 3 years

Newly diagnosed tumor

    

Tumor location

P left

F left

FTP right

FP left

Resection

GTR

GTR

GTR

GTR

Histology

GBM

GBM

AA

GBM

Ki-67 (IHC)

>10%

50%

7-10%

60%

Pre-radiation CT

/

/

/

infant protocol (*)

RT doses

54 Gys plus TMZ

54 Gys plus TMZ

54 Gys plus TMZ

59 Gys (at time of 3 year old)

Post-radiation CT

TMZ (6 courses)

TMZ (6 courses)

TMZ (6 courses)

/

Recurrent tumor

    

DFS (months)

8

14

33

22

Recurrence

local

local

local

local

Resection

GTR

GTR

GTR

GTR

Histology

GBM

GBM

AA

GBM

Ki-67 (IHC)

40%

50%

60%

50%

Adjuvant CT

TMZ /PCV (1 course)°

TMZ /PCV (4 courses)°

TMZ /PCV (6 courses)°

TMZ /irinotecan (12 courses)

Outcome

dead

dead

dead

alive

LPS score

/

/

/

90

Disease

/

/

/

CR; off therapy

OS (months)

10

26

40

57

  1. P Parietal, F Frontal, FTP Fronto-temporo-parietal, FP Fronto-parietal, GTR Gross Total Resection, GBM Glioblastoma, AA Anaplastic Astrocytoma, IHC immunohistochemistry, RT Radiotherapy, CT Chemotherapy, TMZ Temozolomide, DFS Disease Free Survival, PCV Procarbazine-Lomustine-Vincristine, LPS score Lansky performance score (from 100 to 0, with 100= healthy status), CR Complete Remission, OS Overall Survival.
  2. °Until progression and death.
  3. *Infant protocol according to the National Therapeutic Indications for infant with GBM: Methotrexate and Vincristine (1 course), Etoposide (1 course), cyclophosphamide and Vincristine (1 course), thiotepa (2 courses) followed by stem cell auto-grafting.