An Overview of Glial Tumours

 Introduction

Tata Memorial Hospital Neuro-Oncology data 2006

Etiology

Classification

Clinical Features

Imaging

Immuno-cytochemistry

Staging & Grading

Natural History of Astrocytomas

Prognostication

Oligodendroglioma

Ependymoma

Prognosis

Supportive Treatment

 

Prognostication:

Prognostic index (PI):

Prognostic Factors

Category.

Score

Age

< 44

0

45-59

6

>60

12

WHO PS

0-1

0

2

4

3-4

8

Extent of surgery

CR

0

PR

4

Biopsy

8

H/O Fits

>3

0

<3

5

None

10

 

Sum of scores = PI

Low PI = better prognosis

Other prognostic factors:

• Age

• Kps

• Tumour Grade

• Interval of Recurrence

• Tumour Crossing Midline

• Pre-op Neurological Deficit

• Tumour size > 6cm.

Brain Tumour Foundation Of India
189 B, 1 st Floor, Golden Jubilee Block, 

Tata Memorial Hospital, Ernest Borges Marg, Parel, Mumbai - 400 012, INDIA
Tel : 91-22-2417 7000, Ext : 4559. Fax : 022-2417 7159 / 2414 6937
Email : btf@braintumourindia.com