Table 5.
variable | original 1p/19q FISH criteria | modified 1p/19q FISH criteria | 1p/19q PCR LOH | |||
---|---|---|---|---|---|---|
Relative Risk (95% CI) | p | Relative Risk (95% CI) | p | Relative Risk (95% CI) | p | |
age <45 years | 0.07 (0.01—0.51) | 0.009 | 0.06 (0.008—0.5) | 0.009 | 0.12 (0.02—0.9) | 0.04 |
10q intact | 0.27 (0.08—0.85) | 0.025 | 0.28 (0.09—0.9) | 0.03 | 0.36 (0.1—1.3) | 0.12 |
no polysomy | 0.70 (0.19—2.5) | 0.58 | 0.61 (0.16—2.3) | 0.46 | 0.72 (0.2—2.2) | 0.56 |
EGFR IHC moderate-to-strong | 0.27 (0.08—0.88) | 0.03 | 0.27 (0.08—0.9) | 0.03 | 0.42 (0.12—1.4) | 0.17 |
1p/19q deleted | 0.72 (0.17—3.0) | 0.65 | 0.53 (0.16—1.8) | 0.31 | 0.30 (0.05—1.7) | 0.18 |
Analysis of 26 grade III anaplastic oligodendrogliomas showed that younger patient age, intact 10q, and moderate-to-strong EGFR expression on IHC were independent favorable prognostic variables for overall survival when incorporating either original or modified 1p/19q FISH criteria. When using 1p/19q PCR-based LOH data instead, the only variable that retained significance was patient age. CI = confidence interval; EGFR = epidermal growth factor; FISH = fluorescence in situ hybridization; IHC = immunohistochemistry. LOH = loss of heterozygosity.