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The Outcomes of Concomitant Radiation Plus Temozolomide ... - NCI

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116<br />

<strong>The</strong> <strong>Outcomes</strong> <strong>of</strong> <strong>Concomitant</strong> <strong>Radiation</strong> <strong>Plus</strong> <strong>Temozolomide</strong><br />

substantially better survival rates than patients<br />

who had a biopsy only. <strong>The</strong>se prognostic factors<br />

observed in our patient population under<br />

evaluation were in agreement with the report<br />

published by Stupp, et al. [43].<br />

In conclusion, this is the first report <strong>of</strong> results<br />

<strong>of</strong> concomitant RT plus TMZ followed by<br />

adjuvant TMZ therapy in the treatment <strong>of</strong> HGG<br />

in Clinical Oncology Department, Tanta<br />

University Hospital, Faculty <strong>of</strong> Medicine, Tanta<br />

University, Egypt. This study demonstrated<br />

concomitant RT plus TMZ followed by adjuvant<br />

TMZ therapy, is a promising regimen for<br />

patients with HGG and we propose concomitant<br />

RT plus TMZ followed by adjuvant TMZ<br />

therapy as an alternative approach with tolerable<br />

toxicities for patients with WHO grade III<br />

gliomas, as well as for those with glioblastoma,<br />

nevertheless, the challenge remains to improve<br />

clinical outcomes further. To confirm this, a<br />

multicenter, meta-analysis and a randomized<br />

trial with a large number <strong>of</strong> patients are required<br />

in the near future. Many questions remain<br />

unanswered regarding the applications <strong>of</strong> this<br />

regimen to lower grade gliomas and the optimal<br />

combination <strong>of</strong> radiotherapy and temozolomide.<br />

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