Cellular DNA content parameters as prognostic indicators in human astrocytomas.

J Neurooncol

Department of Internal Medicine, Division of Hematology and Oncology, Wayne State University, Karmanos Cancer Institute, Detroit, MI 48201, USA.

Published: January 2005

AI Article Synopsis

  • This study aimed to explore the prognostic significance of DNA content parameters in patients with astrocytomas, focusing on tumor characteristics like grade, size, and location.
  • In a sample of 64 patients, DNA ploidy and S phase fraction (SPF) were assessed, with results showing that while survival times varied by tumor grade, overall survival did not significantly correlate with DNA ploidy or SPF in treated patients.
  • However, untreated patients with DNA diploid tumors showed a trend towards longer survival, suggesting that DNA content parameters could have implications for understanding tumor behavior and treatment outcomes in astrocytoma.

Article Abstract

Objective: Clinical parameters such as grade, size and/or location of the tumor are good predictors of outcome in patients with astrocytoma. The objective of this study was to determine whether DNA content parameters have a prognostic significance for this group of tumors.

Methods: Following optimization and validation of methodology for evaluating cellular DNA content parameters (CDCP), tumor DNA ploidy and percent S phase fraction (SPF) were determined from 64 patients using formalin fixed, paraffin embedded specimens (mean coefficient of variation=4.94) obtained over a 10-year period. Median survival times correlated with grade (I/II=1154 vs. III/IV=483days, P=0.0317). Fifty-five percent of the specimens contained DNA aneuploid (DNA-A) components (average SPF=18.3%) and 45% were DNA diploid (DNA-D) (average SPF=9.6%). Survival did not correlate with overall differences in DNA ploidy (DNA-D=181 vs. DNA-A=206days, P=0.6314) when treated and untreated tumors were analyzed. However, a trend for prolonged median survival was observed in patients whose tumors were untreated with respect to cytotoxic therapy based on DNA ploidy status (DNA-D=275 vs. DNA-A=15days, P=0.3408). Survival for all patients did not correlate with median SPF (<13.5% av.=121 vs. >13.5% av.=154days, P=0.6534).

Conclusion: DNA content parameters may correlate with the natural history and treatment outcome of newly diagnosed untreated patients with astrocytomas.

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http://dx.doi.org/10.1007/s11060-004-6044-xDOI Listing

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