Growth kinetics of benign neuroepithelial brain tumors in children with relapse
https://doi.org/10.18705/2782-3806-2023-3-6-6-20
EDN: ELYQYH
Abstract
The problem of treating children with recurrent cerebral tumors cannot be solved without effective prediction of recurrent blastomatous growth. The main question will be, in addition to the possible risks of tumor recurrence, when should regrowth of the neoplasm be expected in time? In our opinion, one of the probable ways to solve this problem is to study the kinetics of tumor growth and create a mathematical model for it. The aim of the study was to analyze the kinetic features of the continued growth of benign neuroepithelial brain tumors in children after surgical treatment. The study included the results of an MRI of a 32 patients under the age of 17 years. All patients underwent brain tumor resection for the first time in the Department for Children Polenov Neurosurgical Institute (Almazov National Medical Research Centre). All patients had a relapse/continued tumor growth, as well as a benign nature of the neoplasm, which was confirmed pathomorphologically. To construct the kinetic curves, volumetric indicators of tumors obtained by virtual 3D-modeling were used. Depending on the histotype, the tumor growth rate was determined by the formula: v = (VT-VO)/T, and a graphical assessment of changes in the volume of the neoplasm was carried out – the construction of kinetic curves. Further, the most typical kinetic curves for each histological type of benign neuroepithelial tumors were identified.
About the Authors
E. V. FedorovRussian Federation
Fedorov Evgeniy V., pediatric neurosurgeon
Akkuratova str., 2, Saint Petersburg, 197341
A. V. Kim
Russian Federation
Kim Alexander V., PhD, head of the department pediatric neurosurgery
Akkuratova str., 2, Saint Petersburg, 197341
References
1. Федоров Е.В., Базархандаева Т.Б., Дон А.О. и др. «Клинические маски» нейроэпителиальных опухолей головного мозга у детей. В кн.: Воронцовские чтения. Санкт-Петербург-2020. Сборник материалов XIII Всероссийской научно-практической конференции с международным участием. Санкт-Петербургское региональное отделение общественной организации «Союз педиатров России». СПб, 2020: 42–43.
2. Ким А.В., Федоров Е.В., Шевцов М.А., Хачатрян В.А. Некоторые особенности рецидивирования нейроэпителиальных опухолей головного мозга у детей. Российский нейрохирургический журнал им. проф. А. Л. Поленова. 2020;12(2):9–16.
3. Freeman C, Farmer J, Montes J. Low-grade astrocytomas in children: Evolving management strategies. Int J Radiat Oncol Biol Phys. 1998;41:979–987. https://doi.org/10.1016/S0360-3016(98)00163-1
4. Hoffman J, Soloniuk D, Humphreys R, et al. Management and outcome of low-grade astrocytomas of the midline in children: A retrospective review. Neursurgery. 1993;33:964–971.
5. Lazareff JA, Suwinski R, De Rosaa R, Olmstead CE. Tumor Volume and Growth Kinetics in Hypothalamic-Chiasmatic Pediatric Low Grade Gliomas.Pediatr Neurosurg. 1999;30:312–319. https://doi.org/10.1159/000028817
6. На грани химии и биологии: Сб. / Сост. Л. А. Устинова. М.: Знание. 1982. 64 с.
7. Laird AK. Dynamics of tumor growth. Br J Cancer. 1964;13:490–502. https://doi.org/10.1038/bjc.1964.55
8. Nakasu S, Nakasu Y, Fukami T, et al. K. Growth curve analysis of asymptomatic and symptomatic meningiomas. J Neurooncol. 2011;102(2):303–310. https://doi.org/10.1007/s11060-010-0319-1
9. Henscheid N, Clarkson E, Myers KJ, Barrett HH. Physiological random processes in precision cancer therapy. Published: June 29, 2018. https://doi.org/10.1371/journal.pone.0199823
10. Nahed BV, Redjal N, Brat DJ, et al. Management of patients with recurrence of diffuse low grade glioma A systematic review and evidence-based clinical practice guideline J Neurooncol. 2015;125:609–630. https://doi.org/10.1007/s11060-015-1910-2
11. Schiebe M, Ohneseit P, Hoffman W, et al. Analysis of mdm2 and p53 gene alterations in glioblastomas and its correlation with clinical factors. J. Neurooncol. 2000;49(3):197–203. https://doi.org/10.1023/A:1006410702284
12. Skipper H, Schabel FJr, Wilcox S. Experimental evaluation of potential anticancer agents XIII. On the criteria and kinetics associated with “curability” of experimental leukemia. Cancer Chemother Rep. 1964;35:1.
13. Collins V, Loeffier R, Tivey H. Observations on growth rates of human tumors. Am. J. Roentgenol. 1956;76(5):988–1000.
14. Schwartz M. A biomathematical approach to clinical tumor growth. Cancer. 1961;14:1272–94.
15. Yamashita T, Kuwabara T. Estimation of rate of growth of malignant brain tumors by computed tomography scanning. Surg Neurol. 1983;20(6):464–470.
16. Lazareff JА, Suwinski R, De Rosaa R, Olmstead C. Tumor Volume and Growth Kinetics in Hypothalamic-Chiasmatic Pediatric Low Grade Gliomas. Pediatr Neurosurg. 1999;30(6):312–9. https://doi.org/10.1159/000028817
17. Rees J, Watt H, Jäger HR, et al. Volumes and growth rates of untreated adult low-grade gliomas indicate risk of early malignant transformation. Eur J Radiol. 2009;72(1):54–64. https://doi.org/10.1016/j.ejrad.2008.06.013
18. Kirkwood T. Deciphering death: a commentary on Gompertz (1825) “On the nature of the function expressive of the law of human mortality, and on a new mode of determining the value of life contingencies”. Published:19 April 2015. https://doi.org/10.1098/rstb.2014.0379
19. Laird AK. Dynamics of tumor growth. Br J Cancer. 1964;13:490–502. https://doi.org/10.1038/bjc.1964.55
20. Railo M, Nordling S, von Boguslawsky K, et al. Prognostic value of Ki-67 immunolabeling in primary operable breast cancer. Br J Cancer. 1993;68:579 https://doi.org/10.1038/bjc.1993.389
21. Norton L. Mathematical interpretation of tumor growth kinetics. In: Greenspan EM, editor. Clinical interpretation and practice of cancer chemotherapy. New York: Raven; 1982:53–70.
22. Folkman J, Shing Y. Angiogenesis. J Biol Chem. 1992;267:10931–4.
23. Gilwski T, Norton L. Cytokinetics of neoplasia. In: The molecular basis of cancer. Mendelson J, Howley P, Israel M. (Eds), Saunders, Philadelphia. 1995:143–59.
Review
For citations:
Fedorov E.V., Kim A.V. Growth kinetics of benign neuroepithelial brain tumors in children with relapse. Russian Journal for Personalized Medicine. 2023;3(6):6-20. (In Russ.) https://doi.org/10.18705/2782-3806-2023-3-6-6-20. EDN: ELYQYH