Tumor location-based classification of surgery-related language impairments in patients with glioma

Introduction Many patients with glioma experience surgery-related language impairment. This study developed a classification system to predict postoperative language prognosis. Methods Sixty-eight patients were retrospectively reviewed. Based on their location, tumors were subtyped as follows: (I) i...

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Veröffentlicht in:Journal of neuro-oncology 2021-11, Vol.155 (2), p.143-152
Hauptverfasser: Fang, Shengyu, Liang, Yuchao, Li, Lianwang, Wang, Lei, Fan, Xing, Wang, Yinyan, Jiang, Tao
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container_title Journal of neuro-oncology
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creator Fang, Shengyu
Liang, Yuchao
Li, Lianwang
Wang, Lei
Fan, Xing
Wang, Yinyan
Jiang, Tao
description Introduction Many patients with glioma experience surgery-related language impairment. This study developed a classification system to predict postoperative language prognosis. Methods Sixty-eight patients were retrospectively reviewed. Based on their location, tumors were subtyped as follows: (I) inferior frontal lobe or precentral gyrus; (II) posterior central gyrus or supramarginal gyrus (above the lateral fissure level); (III) posterior region of the superior or middle temporal gyri or supramarginal gyrus (below the lateral fissure level); and (IV) insular lobe. The distance from the tumor to the superior longitudinal fasciculus/arcuate fasciculus was calculated. The recovery of language function was assessed using the Western Aphasia Battery before surgery, and a comprehensive language test was conducted on the day of surgery; 3, 7, and 14 days after surgery. Our follow-up information of was the comprehensive language test from telephone interviews in 3 months after surgery. Results Thirty-three patients experienced transient language impairment within 1 week of surgery. Fourteen patients had permanent language impairment. Type II tumors, shorter distance from the tumor to the posterior superior longitudinal fasciculus/arcuate fasciculus, and isocitrate dehydrogenase mutations were risk factors for surgery-related language impairment. Regarding the presence or absence of permanent surgery-related language impairments, the cut-off distance between the tumor and posterior superior longitudinal fasciculus/arcuate fasciculus was 2.75 mm. Conclusions According to our classification, patients with type II tumors had the worst language prognosis and longest recovery time. Our classification, based on tumor location, can reliably predict postoperative language status and may be used to guide tumor resection.
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This study developed a classification system to predict postoperative language prognosis. Methods Sixty-eight patients were retrospectively reviewed. Based on their location, tumors were subtyped as follows: (I) inferior frontal lobe or precentral gyrus; (II) posterior central gyrus or supramarginal gyrus (above the lateral fissure level); (III) posterior region of the superior or middle temporal gyri or supramarginal gyrus (below the lateral fissure level); and (IV) insular lobe. The distance from the tumor to the superior longitudinal fasciculus/arcuate fasciculus was calculated. The recovery of language function was assessed using the Western Aphasia Battery before surgery, and a comprehensive language test was conducted on the day of surgery; 3, 7, and 14 days after surgery. Our follow-up information of was the comprehensive language test from telephone interviews in 3 months after surgery. Results Thirty-three patients experienced transient language impairment within 1 week of surgery. Fourteen patients had permanent language impairment. Type II tumors, shorter distance from the tumor to the posterior superior longitudinal fasciculus/arcuate fasciculus, and isocitrate dehydrogenase mutations were risk factors for surgery-related language impairment. Regarding the presence or absence of permanent surgery-related language impairments, the cut-off distance between the tumor and posterior superior longitudinal fasciculus/arcuate fasciculus was 2.75 mm. Conclusions According to our classification, patients with type II tumors had the worst language prognosis and longest recovery time. Our classification, based on tumor location, can reliably predict postoperative language status and may be used to guide tumor resection.</description><identifier>ISSN: 0167-594X</identifier><identifier>EISSN: 1573-7373</identifier><identifier>DOI: 10.1007/s11060-021-03858-9</identifier><identifier>PMID: 34599481</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Aphasia ; Brain Neoplasms - pathology ; Brain Neoplasms - surgery ; Brain tumors ; Classification ; Clinical Study ; Frontal lobe ; Glioma ; Glioma - pathology ; Glioma - surgery ; Humans ; Isocitrate dehydrogenase ; Language ; Language Development Disorders - epidemiology ; Language disorders ; Medicine ; Medicine &amp; Public Health ; Neurology ; Oncology ; Patients ; Precentral gyrus ; Prognosis ; Retrospective Studies ; Risk factors ; Surgery ; Surgical Procedures, Operative - adverse effects ; Tumors</subject><ispartof>Journal of neuro-oncology, 2021-11, Vol.155 (2), p.143-152</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021. corrected publication 2021</rights><rights>2021. 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This study developed a classification system to predict postoperative language prognosis. Methods Sixty-eight patients were retrospectively reviewed. Based on their location, tumors were subtyped as follows: (I) inferior frontal lobe or precentral gyrus; (II) posterior central gyrus or supramarginal gyrus (above the lateral fissure level); (III) posterior region of the superior or middle temporal gyri or supramarginal gyrus (below the lateral fissure level); and (IV) insular lobe. The distance from the tumor to the superior longitudinal fasciculus/arcuate fasciculus was calculated. The recovery of language function was assessed using the Western Aphasia Battery before surgery, and a comprehensive language test was conducted on the day of surgery; 3, 7, and 14 days after surgery. Our follow-up information of was the comprehensive language test from telephone interviews in 3 months after surgery. 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This study developed a classification system to predict postoperative language prognosis. Methods Sixty-eight patients were retrospectively reviewed. Based on their location, tumors were subtyped as follows: (I) inferior frontal lobe or precentral gyrus; (II) posterior central gyrus or supramarginal gyrus (above the lateral fissure level); (III) posterior region of the superior or middle temporal gyri or supramarginal gyrus (below the lateral fissure level); and (IV) insular lobe. The distance from the tumor to the superior longitudinal fasciculus/arcuate fasciculus was calculated. The recovery of language function was assessed using the Western Aphasia Battery before surgery, and a comprehensive language test was conducted on the day of surgery; 3, 7, and 14 days after surgery. Our follow-up information of was the comprehensive language test from telephone interviews in 3 months after surgery. Results Thirty-three patients experienced transient language impairment within 1 week of surgery. Fourteen patients had permanent language impairment. Type II tumors, shorter distance from the tumor to the posterior superior longitudinal fasciculus/arcuate fasciculus, and isocitrate dehydrogenase mutations were risk factors for surgery-related language impairment. Regarding the presence or absence of permanent surgery-related language impairments, the cut-off distance between the tumor and posterior superior longitudinal fasciculus/arcuate fasciculus was 2.75 mm. Conclusions According to our classification, patients with type II tumors had the worst language prognosis and longest recovery time. 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subjects Aphasia
Brain Neoplasms - pathology
Brain Neoplasms - surgery
Brain tumors
Classification
Clinical Study
Frontal lobe
Glioma
Glioma - pathology
Glioma - surgery
Humans
Isocitrate dehydrogenase
Language
Language Development Disorders - epidemiology
Language disorders
Medicine
Medicine & Public Health
Neurology
Oncology
Patients
Precentral gyrus
Prognosis
Retrospective Studies
Risk factors
Surgery
Surgical Procedures, Operative - adverse effects
Tumors
title Tumor location-based classification of surgery-related language impairments in patients with glioma
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