Authored by Behzad Saberi*
Opinion
Oligodendroglioma as a glial tumor originating from oligodendrocytes, is identified by positive stain for myelin basic protein and characterized by ‘fried-egg’ appearance histologically. It would be a low-grade tumor with slow growing pattern, but anaplasia and aggressive behavior also can be occurred. Due to the hemorrhage in the tumor, sometimes the tumor will be symptomatic abruptly. CT and MRI scans can be used to determine the tumor as it presents as a hypointense T1-lesion on MRI scans and a nonenhanced hypodense lesion on CT scans. The presence of enhancement can be a sign of a mixed oligoastrocytoma or a more aggressive tumor. Sometimes calcifications can also be seen in the scans. Neuroimaging appearance, location and clinical presentation of the tumor, determine the management strategies. Since oligodendroglioma is a chemosensitive tumor, chemotherapy can be an effective treatment method for it. In case of possibility, surgical resection would be done generally for Oligodendroglioma. Genetic deletions or 1p and 19q chromosomes loss of heterozygosity can be seen in about sixty percent of oligodendrogliomas and this would be a chemosensitivity and favorable prognosis indicator. In case of the 1p and 19q chromosomes loss of heterozygosity, the overall survival and responsivity to chemotherapy would be more than ninety percent. PCV regimen and temozolomide are used in chemotherapy for oligodendrogliomas. In case of performing a limited biopsy or a subtotal resection, radiation therapy can have some advantages in the oligodendrogliomas survival, but in case of the possibility for total resection of the tumor, the role of the radiation therapy would be controversial [1-6].
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