PMID- 25735391 OWN - NLM STAT- MEDLINE DCOM- 20151208 LR - 20190606 IS - 2476-762X (Electronic) IS - 1513-7368 (Linking) VI - 16 IP - 3 DP - 2015 TI - Prognostic factors influencing clinical outcomes of malignant glioblastoma multiforme: clinical, immunophenotypic, and fluorescence in situ hybridization findings for 1p19q in 816 chinese cases. PG - 971-7 AB - Malignant glioblastoma multiforme (GBM) is the most malignant brain tumor and despite recent advances in diagnostics and treatment prognosis remains poor. In this retrospective study, we assessed the clinical and radiological parameters, as well as fluorescence in situ hybridization (FISH) of 1p19q deletion, in a series of cases. A total of 816 patients with GBM who received surgery and radiation between January 2010 and May 2014 were included in this study. Kaplan-Meier survival analysis and Cox regression analysis were used to find the factors independently influencing patient progression free survival (PFS) and overall survival (OS). Age at diagnosis, preoperative Karnofsky Performance Scale (KPS) score, KPS score change at 2 weeks after operation, neurological deficit symptoms, tumor resection extent, maximal tumor diameter, involvement of eloquent cortex or deep structure, involvement of brain lobe, Ki-67 and MMP9 expression level and adjuvant chemotherapy were statistically significant factors (p<0.05) for both PFS and OS in the univariate analysis. Cox proportional hazards modeling revealed that age /=80, KPS score change after operation >/=0, involvement of single frontal lobe, deep structure involvement, low Ki-67 and MMP9 expression and adjuvant chemotherapy were independent favorable factors (p<0.05) for patient clinical outcomes. FAU - Qin, Jun-Jie AU - Qin JJ AD - Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China E-mail : liguilin2014@126.com, xiejianw@sina.com. FAU - Liu, Zhao-Xia AU - Liu ZX FAU - Wang, Jun-Mei AU - Wang JM FAU - Du, Jiang AU - Du J FAU - Xu, Li AU - Xu L FAU - Zeng, Chun AU - Zeng C FAU - Han, Wu AU - Han W FAU - Li, Zhi-Dong AU - Li ZD FAU - Xie, Jian AU - Xie J FAU - Li, Gui-Lin AU - Li GL LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Thailand TA - Asian Pac J Cancer Prev JT - Asian Pacific journal of cancer prevention : APJCP JID - 101130625 SB - IM MH - Brain Neoplasms/*genetics/mortality/*pathology/therapy MH - Chromosomes, Human, Pair 1/*genetics MH - Combined Modality Therapy MH - Female MH - Follow-Up Studies MH - Glioblastoma/*genetics/mortality/*pathology/therapy MH - Humans MH - Immunoenzyme Techniques MH - In Situ Hybridization, Fluorescence/*methods MH - Karnofsky Performance Status MH - Male MH - Middle Aged MH - Neoplasm Staging MH - Prognosis MH - Retrospective Studies MH - Survival Rate EDAT- 2015/03/05 06:00 MHDA- 2015/12/15 06:00 CRDT- 2015/03/05 06:00 PHST- 2015/03/05 06:00 [entrez] PHST- 2015/03/05 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] AID - 10.7314/apjcp.2015.16.3.971 [doi] PST - ppublish SO - Asian Pac J Cancer Prev. 2015;16(3):971-7. doi: 10.7314/apjcp.2015.16.3.971.