European Association for Neuro-Oncology (EANO) guideline on the diagnosis and treatment of adult astrocytic and oligodendroglial gliomas - 15/06/17

Doi : 10.1016/S1470-2045(17)30194-8

Michael Weller, ProfMD ^a,^⁎ , Martin van den Bent, ProfMD ^c, Jörg C Tonn, ProfMD ^e, Roger Stupp, ProfMD ^b, Matthias Preusser, MD ^f, Elizabeth Cohen-Jonathan-Moyal, ProfMD ^g, Roger Henriksson, ProfMD ^h, Emilie Le Rhun, MD ⁱ, Carmen Balana, MD ^j, Olivier Chinot, ProfMD ^k, Martin Bendszus, ProfMD ^l, Jaap C Reijneveld, ProfMD ⁿ, Frederick Dhermain, MD ^o, Pim French, PhD ^d, Christine Marosi, MD ^f, Colin Watts, MD ^p, Ingela Oberg ^q, Geoffrey Pilkington, PhD ^r, Brigitta G Baumert, MD ^s, Martin J B Taphoorn, ProfMD ^t, Monika Hegi, PhD ^u, Manfred Westphal, ProfMD ^v, Guido Reifenberger, ProfMD ^w, Riccardo Soffietti, ProfMD ^x, Wolfgang Wick, ProfMD ^m,^y
for the
European Association for Neuro-Oncology (EANO) Task Force on Gliomas

^a Department of Neurology, Brain Tumour Centre, University Hospital and University of Zurich, Zurich, Switzerland

^b Department of Oncology, Brain Tumour Centre, University Hospital and University of Zurich, Zurich, Switzerland

^c Neurooncology Unit, Erasmus MC Cancer Institute, Rotterdam, Netherlands

^d Department of Neurology, Erasmus MC Cancer Institute, Rotterdam, Netherlands

^e Department of Neurosurgery, Ludwig-Maximilians-University Munich, Munich, Germany

^f Department of Medicine, Comprehensive Cancer Centre Vienna, Medical University of Vienna, Vienna, Austria

^g Département de Radiotherapie, Institut Claudius Regaud, L’Institut Universitaire du Cancer de Toulouse-Oncopole, Toulouse, France

^h Regional Cancer Centre Stockholm-Gotland and Department of Radiation Sciences and Oncology, Umeå University Hospital, Umeå, Sweden

ⁱ Neuro-Oncology, Department of Neurosurgery, University Hospital, Lille, France

^j Catalan Institute of Oncology, Hospital Germans Trias i Pujol, Barcelona, Spain

^k Department of Neuro-Oncology, Aix-Marseille Université, Assistance Publique-Hopitaux de Marseille, Centre Hospitalo-Universitaire Timone, Marseilles, France

^l Department of Neuroradiology, University Hospital Heidelberg, Heidelberg, Germany

^m Neurology Clinic and National Centre for Tumour Diseases, University Hospital Heidelberg, Heidelberg, Germany

ⁿ Department of Neurology and Brain Tumour Centre Amsterdam, Vrije Universiteit Medical Centre, Amsterdam, Netherlands

^o Department of Radiotherapy, Gustave Roussy University Hospital, Villejuif, France

^p Department of Clinical Neurosciences, Division of Neurosurgery, University of Cambridge, Cambridge, UK

^q Division of Neurosurgery, Addenbrooke’s Hospital, Cambridge University Hospitals Foundation Trust, Cambridge, UK

^r Brain Tumour Research Centre, University of Portsmouth, Portsmouth, UK

^s Department of Radiation Oncology, MediClin Robert Janker Clinic and Clinical Cooperation Unit Neurooncology, University of Bonn Medical Centre, Bonn, Germany

^t Department of Neurology, Leiden University Medical Centre and Medical Centre Haaglanden, The Hague, Netherlands

^u Department of Clinical Neurosciences, University Hospital Lausanne, Lausanne, Switzerland

^v Department of Neurosurgery, University Hospital Hamburg, Hamburg, Germany

^w Department of Neuropathology, Heinrich Heine University Düsseldorf and German Cancer Consortium (DKTK), Essen/Düsseldorf, Germany

^x Department of Neuro-Oncology, University Hospital, Turin, Italy

^y German Consortium of Translational Cancer Research (DKTK), Clinical Cooperation Unit Neurooncology, German Cancer Research Center, Heidelberg, Germany

^* Correspondence to: Prof Michael Weller, Department of Neurology and Brain Tumour Centre, University Hospital Zurich, CH-8091 Zurich, Switzerland Department of Neurology and Brain Tumour Centre University Hospital Zurich Zurich CH-8091 Switzerland

Summary

The European Association for Neuro-Oncology guideline provides recommendations for the clinical care of adult patients with astrocytic and oligodendroglial gliomas, including glioblastomas. The guideline is based on the 2016 WHO classification of tumours of the central nervous system and on scientific developments since the 2014 guideline. The recommendations focus on pathological and radiological diagnostics, and the main treatment modalities of surgery, radiotherapy, and pharmacotherapy. In this guideline we have also integrated the results from contemporary clinical trials that have changed clinical practice. The guideline aims to provide guidance for diagnostic and management decisions, while limiting unnecessary treatments and costs. The recommendations are a resource for professionals involved in the management of patients with glioma, for patients and caregivers, and for health-care providers in Europe. The implementation of this guideline requires multidisciplinary structures of care, and defined processes of diagnosis and treatment.

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Vol 18 - N° 6

P. e315-e329 - juin 2017 Retour au numéro

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European Association for Neuro-Oncology (EANO) guideline on the diagnosis and treatment of adult astrocytic and oligodendroglial gliomas - 15/06/17

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