Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas

Introduction and purpose: There has been a global increase in the prevalence of adults diagnosed with primary brain tumors. Meningiomas are the most common primary brain tumors, the majority are benign. For asymptomatic, slow-growing tumors, observation with imaging studies may be considered. Surgi...

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Main Authors: Klaudia Drewko, Sylwia Kopeć, Mateusz Orłowski, Julia Kuźniar, Patrycja Kozubek
Format: Article
Language:English
Published: Kazimierz Wielki University 2025-04-01
Series:Journal of Education, Health and Sport
Subjects:
Online Access:https://apcz.umk.pl/JEHS/article/view/59075
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author Klaudia Drewko
Sylwia Kopeć
Mateusz Orłowski
Julia Kuźniar
Patrycja Kozubek
author_facet Klaudia Drewko
Sylwia Kopeć
Mateusz Orłowski
Julia Kuźniar
Patrycja Kozubek
author_sort Klaudia Drewko
collection DOAJ
description Introduction and purpose: There has been a global increase in the prevalence of adults diagnosed with primary brain tumors. Meningiomas are the most common primary brain tumors, the majority are benign. For asymptomatic, slow-growing tumors, observation with imaging studies may be considered. Surgical resection is the main form of treatment. Other options are radiotherapy and chemotherapy. Astrocytomas are biologically and morphologically diverse group of brain tumors divided into two classes. IDH-wild-type tumors are classified as grade IV astrocytomas. They are widespread malignant brain tumors in adults.  Despite aggressive therapy consisting of surgical resection, radiotherapy and temozolomide as many as 90% of grade IV gliomas will have a local recurrence. Ependymoma is a primary tumor. The most proper method of treatment is GTR, in addition radiotherapy is considered helpful. Material and Methods: Bibliographic research was limited to papers published between 2014 and 2024. We have analyzed articles with free and paid access.  The articles were identified using the PubMed and Google Scholar search, using key terms. Results: The paper focuses on efficacy and prognosis of selected therapies for cancers of the central nervous system with varying degrees of malignancy. This study reviews the prevalence, current diagnostic tools and evidence-based methods. Conclusions: Brain tumor treatment depends on the type of tumor and the patient's condition. Meningiomas can be treated from observation to surgical removal, and if the tumor cannot be completely removed, radiotherapy is used. Low-grade gliomas are treated surgically, while high-grade gliomas require additional chemotherapy and radiotherapy. Modern surgical techniques and stereotactic radiosurgery (SRS) improve treatment results. Ependymoma, a rare CNS tumor, requires complete removal in the case of benign changes, and radiotherapy in the case of higher-grade tumors. 
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spelling doaj-art-3bf32b77171745a799fbdfb01a0effe52025-08-20T03:17:28ZengKazimierz Wielki UniversityJournal of Education, Health and Sport2391-83062025-04-018010.12775/JEHS.2025.80.59075Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomasKlaudia Drewko0https://orcid.org/0009-0001-1534-9753Sylwia Kopeć1https://orcid.org/0009-0009-6478-651XMateusz Orłowski2https://orcid.org/0009-0009-8635-6406Julia Kuźniar3https://orcid.org/0009-0009-0037-7290Patrycja Kozubek4https://orcid.org/0009-0001-2758-8807Lower Silesia Specialist Hospital of T. Marciniak, Emergency Medicine Center, 50-367 Wrocław, PolandLower Silesian Center of Oncology, Pulmonology and Hematology, Plac Hirszfelda 12, 53-413 Wrocław, PolandLower Silesian Center of Oncology, Pulmonology and Hematology, Plac Hirszfelda 12, 53-413 Wrocław, PolandUniwersytet Medyczny we WrocławiuProvincial Hospital, Grunwaldzka 45, 25-736 Kielce, Poland Introduction and purpose: There has been a global increase in the prevalence of adults diagnosed with primary brain tumors. Meningiomas are the most common primary brain tumors, the majority are benign. For asymptomatic, slow-growing tumors, observation with imaging studies may be considered. Surgical resection is the main form of treatment. Other options are radiotherapy and chemotherapy. Astrocytomas are biologically and morphologically diverse group of brain tumors divided into two classes. IDH-wild-type tumors are classified as grade IV astrocytomas. They are widespread malignant brain tumors in adults.  Despite aggressive therapy consisting of surgical resection, radiotherapy and temozolomide as many as 90% of grade IV gliomas will have a local recurrence. Ependymoma is a primary tumor. The most proper method of treatment is GTR, in addition radiotherapy is considered helpful. Material and Methods: Bibliographic research was limited to papers published between 2014 and 2024. We have analyzed articles with free and paid access.  The articles were identified using the PubMed and Google Scholar search, using key terms. Results: The paper focuses on efficacy and prognosis of selected therapies for cancers of the central nervous system with varying degrees of malignancy. This study reviews the prevalence, current diagnostic tools and evidence-based methods. Conclusions: Brain tumor treatment depends on the type of tumor and the patient's condition. Meningiomas can be treated from observation to surgical removal, and if the tumor cannot be completely removed, radiotherapy is used. Low-grade gliomas are treated surgically, while high-grade gliomas require additional chemotherapy and radiotherapy. Modern surgical techniques and stereotactic radiosurgery (SRS) improve treatment results. Ependymoma, a rare CNS tumor, requires complete removal in the case of benign changes, and radiotherapy in the case of higher-grade tumors.  https://apcz.umk.pl/JEHS/article/view/59075meningiomasastrocytomasIDH-wild-type tumorsependymomasoncological treatment
spellingShingle Klaudia Drewko
Sylwia Kopeć
Mateusz Orłowski
Julia Kuźniar
Patrycja Kozubek
Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas
Journal of Education, Health and Sport
meningiomas
astrocytomas
IDH-wild-type tumors
ependymomas
oncological treatment
title Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas
title_full Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas
title_fullStr Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas
title_full_unstemmed Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas
title_short Efficacy and prognosis of selected therapies for cancers of the central nervous system – meningiomas, astrocytomas and ependymomas
title_sort efficacy and prognosis of selected therapies for cancers of the central nervous system meningiomas astrocytomas and ependymomas
topic meningiomas
astrocytomas
IDH-wild-type tumors
ependymomas
oncological treatment
url https://apcz.umk.pl/JEHS/article/view/59075
work_keys_str_mv AT klaudiadrewko efficacyandprognosisofselectedtherapiesforcancersofthecentralnervoussystemmeningiomasastrocytomasandependymomas
AT sylwiakopec efficacyandprognosisofselectedtherapiesforcancersofthecentralnervoussystemmeningiomasastrocytomasandependymomas
AT mateuszorłowski efficacyandprognosisofselectedtherapiesforcancersofthecentralnervoussystemmeningiomasastrocytomasandependymomas
AT juliakuzniar efficacyandprognosisofselectedtherapiesforcancersofthecentralnervoussystemmeningiomasastrocytomasandependymomas
AT patrycjakozubek efficacyandprognosisofselectedtherapiesforcancersofthecentralnervoussystemmeningiomasastrocytomasandependymomas