654-655 / 1983
Case 4 Management
•
Most likely to be grade 2 astrocytoma
•
Bx would help
•
Prognosis in LGG:
Pignatti, JCO 2002
Astrocytoma histology
Age >=40
Tumor >=6 cm
Tumor crossing
midline
Neurologic deficit
Risk Group Score
Median OS
Low risk
0 - 2
7.8 years
High risk
3 - 5
3.7 years
Prognosis in ‘Low risk’ group:
55 yr old, triple-neg
20mm, 4 LN+ve woman with breast cancer
This is an old study…
Don’t you have anything
newer ?