Summary
Malignant gliomas represent about 70 % of all brain tumors. Despite advances in standard therapy consisting of surgery, radiation therapy and chemotherapy, gliomas remain an essentially fatal disease, with a median survival time of 10 to 12 months and a 2-year survival rate of 8 % to 12 %. Electro-hyperthermia applied either alone or in combination with chemo- and/or radio-therapy is an advanced hyperthermia technique that has been used as adjuvant treatment for patients with malignant glioma. We present the results of a retrospective study of 140 patients with different stages of malignant glioma, which were treated/followed from January 2000 to February 2005. The endpoint was the overall survival and the survival from the 1st electro-hyperthermia treatment. The overall median survival time for patients with mostly advanced malignant glioma who received adjuvant electro-hyperthermia in this study was 20.4 months. The median survival time from the first electro-hyperthermia treatment was 6.6 months. Electro-hyperthermia was safe and well tolerated. The presented results show the feasibility of the treatment and suggest a benefit of the electro-hyperthermia treatment for patients with advanced malignant glioma.
Keywords
Malignant glioma - hyperthermia - chemotherapy - radiotherapy - survival rates
References
-
01
Begley D J.
ABC transporters and the blood-brain barrier. Current pharmaceutical design.
2004;
10
1295-1312
-
02
Borok T L, Winter A, Laing J. et al .
Microwave hyperthermia radiosensitized iridium-192 for recurrent brain malignancy.
Med Dosim.
1988;
13
29-36
-
03
Davis D L, Ahlbom A, Hoel D, Percy C.
Is brain cancer mortality increasing in industrial countries?.
American Journal of Industrial Medicine.
1991;
19
421-431
-
04
Eikesdal H P, Bjorkhaug S T, Dahl O.
Hyperthermia exhibits anti-vascular activity in the s.c. BT4An rat glioma: lack of interaction with the angiogenesis inhibitor batimastat.
Int J Hyperthermia.
2002;
18
141-152
-
05
Fan M, Ascher P W, Schrottner O. et al .
Interstitial 1.06 Nd:YAG laser thermotherapy for brain tumors under real-time monitoring of MRI: experimental study and phase I clinical trial.
Journal of Clinical Laser Medicine & Surgery..
1992;
10
355-361
-
06
Fisher P G, Buffler P A.
Malignant gliomas in 2005: where to GO from here?.
JAMA.
2005;
293
615-617
-
07
Friedlander D R, Zagzag D, Shiff B. et al .
Migration of brain tumor cells on extracellular matrix proteins in vitro correlates with tumor type and grade and involves alphaV and beta1 integrins.
Cancer Research.
1996;
56
1939-1947
-
08
Greig N H, Ries L G, Yancik R, SRapoport S I.
Increasing annual incidence of primary malignant brain tumors in the elderly.
Journal of the National Cancer Institute..
1990;
82
1621-1624
-
09
Guthkelch A N, Carter L P, Cassady J R. et al .
Treatment of malignant brain tumors with focused ultrasound hyperthermia and radiation: results of a phase I trial.
Journal of Neuro-oncology.
1991;
10
271-284
-
10
Hager D, Dziambor H, App E M. et al .
The treatment of patients with high-grade malignant gliomas with RF-hyperthermia.
Proc Am Soc Clin Oncol.
22
2003
-
11
Hermisson M, Weller M.
Hyperthermia enhanced chemosensitivity of human malignant glioma cells.
Anticancer Research.
2000;
20
1819-1823
-
12
Jendrossek V, Belka C, Bamberg M.
Novel chemotherapeutic agents for the treatment of glioblastoma multiforme.
Expert Opinion on Investigational Drugs.
2003;
12
1899-1924
-
13
Kahn T, Harth T, Bettag M. et al .
Preliminary experience with the application of gadolinium-DTPA before MR imaging-guided laser-induced interstitial thermotherapy of brain tumors.
J Magn Reson Imaging.
1997;
7
226-229
-
14
Kuratsu J, Ushio Y.
Epidemiological study of primary intracranial tumours in elderly people.
Journal of Neurology, Neurosurgery, and Psychiatry.
1997;
63
116-118
-
15
Kurzen H, Schmitt S, Naher H, Mohler T.
Inhibition of angiogenesis by non-toxic doses of temozolomide.
Anti-cancer Drugs.
2003;
14
515-522
-
16
Ley-Valle A.
[Non invasive intracranial hyperthermia with Electric Capacitive Transference -ECT- Intratumoral and cerebral thermometry results].
Neurocirugia.
2003;
14
41-45
-
17
Moran C J, Marchosky J A, Wippold 2nd F J, DeFord J A, Fearnot N E.
Conductive interstitial hyperthermia in the treatment of intracranial metastatic disease.
Journal of Neuro-oncology.
1995;
26
53-63
-
18
Ohgaki H, Kleihues P.
Epidemiology and etiology of gliomas.
Acta neuropathologica.
2005;
109
93-108
-
19
Pagani E, Falcinelli S, Pepponi R. et al .
Combined effect of temozolomide and hyperthermia on human melanoma cell growth and O6-methylguanine-DNA methyltransferase activity.
International Journal of Oncology.
2007;
30
443-451
-
20
Pontiggia P, Duppone Curto F, Rotella G. et al .
Hyperthermia in the treatment of brain metastases from lung cancer. Experience on 17 cases.
Anticancer Research.
1995;
15
597-601
-
21 Sahinbas H, Groenemeyer D H W, Boecher E. et al .Hyperthermia treatment of advanced relapsed glioma and astrocytoma (abstract). 9th ICHO 85 2004
-
22
Sakaguchi Y, Stephens L C, Makino M. et al .
Apoptosis in tumors and normal tissues induced by whole body hyperthermia in rats.
Cancer Research.
1995;
55
5459-5464
-
23
Selker R G, Eddy M S, Deutsch M, Arena V C, Burger P.
On the development of an interstitial radiation protocol for a multicenter consortium. Experience with permanent low-dose rate and temporary high-dose rate 125I implants in failed and newly diagnosed glioblastoma patients: quality assurance methodology and a possible future adjuvant for therapeutic enhancement.
Journal of Neuro-oncology.
1995;
26
141-155
-
24
Sharma H S.
Hyperthermia induced brain oedema: current status and future perspectives.
The Indian Journal of Medical Research.
2006;
123
629-652
-
25
Sneed P K, Stauffer P R, McDermott M W. et al .
Survival benefit of hyperthermia in a prospective randomized trial of brachytherapy boost +/- hyperthermia for glioblastoma multiforme.
International Journal of Radiation Oncology, Biology, Physics.
1998;
40
287-295
-
26
Stupp R, Mason W P, Bent M J van den. et al .
Radiotherapy plus concomitant and adjuvant temozolomide for glioblastoma.
The New England Journal of Medicine.
2005;
352
987-996
-
27
Sumiyoshi K, Strebel F R, Rowe R W, Bull J M.
The effect of whole-body hyperthermia combined with ‚metronomic’ chemotherapy on rat mammary adenocarcinoma metastases.
Int J Hyperthermia.
2003;
19
103-118
-
28 Surveillance, Epidemiology, and End Results (SEER). National Cancer Institute April/2000 http://www.seer.cancer.gov
-
29
Tanaka R, Kim C H, Yamada N, Saito Y.
Radiofrequency hyperthermia for malignant brain tumors: preliminary results of clinical trials.
Neurosurgery.
1987;
21
478-483
Correspondence to
Dr. med. Hüseyin Sahinbas
Universität Witten/Herdecke
Grönemeyer Institut
Universitätsstr. 140
44799 Bochum
eMail: sahinbas@microtherapy.de