2Deparment of Neurosurgery, Inonu University Faculty of Medicine, Malatya-Turkey
3Deparment of Neurosurgery, Yuksek İhtisas University Faculty of Medicine, Ankara-Turkey
4Deparment of Radiation Oncology, Yüksek İhtisas University, Ankara Memorial Hospital, Ankara-Turkey DOI : 10.5505/tjo.2021.3441 OBJECTIVE
This study aimed to investigate the etiology of gliomas and determine the utility of the World Health Organization (WHO) classification of central nervous system tumors.
METHODS
Patients aged ≥18 years who underwent surgery or were followed up for glial tumors between January
2017 and January 2020 and whose pathology reports indicated grade II-IV gliomas were included in the
study. Patients with missing data, pathology results incompatible with grade II-IV gliomas, and unavailable
standard molecular/genetic tumor profiles were excluded from the study.
RESULTS
The results of the standard histopathological and molecular/genetic analyses were evaluated retrospectively
without any additional examinations. Data from 259 patients were evaluated. Of these, 8 patients
who did not meet the criteria for glioma pathology and 27 patients with not otherwise specified molecular
pathological examination results were excluded from the study. Patients were evaluated in detail regarding
demographic and admission data, pathology analysis, potential risk factors, and survival results.
CONCLUSION
Many factors, particularly high blood glucose levels, sedentary lifestyle, and radiofrequency electromagnetic
field exposure, appear to have a relationship with glioma etiology. There is a major heterogeneity
and lack of standardized efficient laboratory procedures that may interfere with reliable
standard molecular results. "False positive" molecular markers consist a major classification issue and
methods that reflect the requirements of the WHO classification may themselves be inadequate to establish
a profile with adequate sensitivity. The development of more practical and accessible methods
in addition to standardized, rapid, and reliable methods for testing multiple markers at an acceptable
cost is urgently needed.