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Published in: Journal of Neuro-Oncology 2/2011

01-11-2011 | Clinical Study - Patient Study

Assessment of MGMT promoter methylation status in pleomorphic xanthoastrocytoma

Authors: Gianluca Marucci, Luca Morandi

Published in: Journal of Neuro-Oncology | Issue 2/2011

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Abstract

Although pleomorphic xanthoastrocytoma (PXA) is currently designed as a grade II glioma according to the WHO classification, a significant percentage of the tumors undergo malignant progression. In this study, the MGMT methylation status was examined in 11 PXA patients to determine if a biologic rationale exists to support the use of temozolomide (TMZ) for treatment of aggressive PXA. There were 9 cases of PXA grade II and 2 cases of PXA with anaplastic features. In the MGMT methylation study, only 2 (18.1%) of the 11 tumor samples tested by MS-qLNAPCR were positive for MGMT promoter methylation. In contrast, other cases, including PXAs with anaplastic features, were unmethylated. In addition, a tumor recurrence was found to be unmethylated. Thus, MGMT promoter methylation is not frequent in PXA and our results raise doubts about the benefits of treating indistinctly aggressive PXA with TMZ.
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Metadata
Title
Assessment of MGMT promoter methylation status in pleomorphic xanthoastrocytoma
Authors
Gianluca Marucci
Luca Morandi
Publication date
01-11-2011
Publisher
Springer US
Published in
Journal of Neuro-Oncology / Issue 2/2011
Print ISSN: 0167-594X
Electronic ISSN: 1573-7373
DOI
https://doi.org/10.1007/s11060-011-0605-6

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