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Case 3 Management

Treatment:

Optimal treatment for G3 oligo is (surgery), RT and chemo

G3 ‘oligo’: RT + PCV >

OS

RT alone

1p/19q is prognostic, as is IDH-1 mutation

1p/19q is also predictive

Unclear if there is a role for chemo in non-1p/19q co-deleted tumours

Prognosis ?

Cainrncross, JCO 2013

van den Bent, JCO 2013