Patterns of care and treatment outcomes of patients with astroblastoma: a National Cancer Database analysis

CNS Oncol. 2018 Apr;7(2):CNS13. doi: 10.2217/cns-2017-0038. Epub 2018 Apr 30.

Abstract

Aim: To evaluate the use of chemotherapy and radiation, and their outcomes for patients with astroblastoma.

Patients & methods: This is a retrospective review of patients extracted from the National Cancer Database. We investigated overall survival (OS) using Kaplan-Meier curves. Cox proportional hazards models were used to correlate OS with risk variables and treatments.

Results: OS at 5 years was 79.5%. Patients with high-grade tumors were more likely to receive chemotherapy and radiation. Patients with high-grade astroblastoma who did not receive adjuvant radiation had poor survival.

Conclusion: Patients with astroblastoma should be treated with curative intent. Radiation is likely beneficial in high-grade astroblastoma. The exact role of radiation and chemotherapy following surgical resection warrant further investigation.

Keywords: astroblastoma; brain tumor; neuro-oncology; pediatric oncology; rare tumor.

MeSH terms

  • Adolescent
  • Adult
  • Brain Neoplasms / mortality
  • Brain Neoplasms / pathology
  • Brain Neoplasms / therapy*
  • Child
  • Child, Preschool
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Neoplasm Grading
  • Neoplasms, Neuroepithelial / mortality
  • Neoplasms, Neuroepithelial / pathology
  • Neoplasms, Neuroepithelial / therapy*
  • Retrospective Studies
  • Survival Analysis
  • Treatment Outcome
  • Young Adult