Table 2.
Univariate prognostic factors of overall survival and progression free survival
Demographic and clinical factors (n = 103) | Frequency (%) | 5-year OS ± SE | 10-year OS ± SE | OS p value* | 5-year PFS ± SE | 10-year PFS ± SE | PFS p value* | |
---|---|---|---|---|---|---|---|---|
Institution | DFCI/BCH | 48 (47) | 63 ± 7 | 48 ± 8 | 0.6 | 43 ± 7 | 30 ± 7 | 0.8 |
LCH | 55 (53) | 71 ± 6 | 52 ± 9 | 36 ± 7 | 27 ± 7 | |||
Age at diagnosis | <3 years old | 43 (42) | 73 ± 7 | 57 ± 8 | 0.5 | 40 ± 7 | 32 ± 7 | 0.9 |
≥3 years old | 60 (58) | 63 ± 6 | 46 ± 7 | 39 ± 6 | 27 ± 6 | |||
Gender | Male | 49 (48) | 68 ± 8 | 47 ± 8 | 0.6 | 36 ± 7 | 25 ± 6 | 0.3 |
Female | 54 (52) | 67 ± 7 | 54 ± 7 | 41 ± 7 | 33 ± 7 | |||
Tumor location | Infratentorial | 78 (76) | 65 ± 6 | 51 ± 6 | 0.7 | 41 ± 6 | 32 ± 5 | 0.5 |
Supratentorial | 25 (24) | 74 ± 9 | 45 ± 12 | 34 ± 10 | 19 ± 8 | |||
Tumor grade | II | 75 (73) | 71 ± 5 | 56 ± 7 | 0.026 | 42 ± 6 | 30 ± 6 | 0.5 |
III | 28 (27) | 57 ± 10 | 35 ± 16 | 30 ± 9 | 25 ± 8 | |||
Site of recurrencea | Local only | 51/69 (74) | 60 ± 7 | 39 ± 7 | 0.2 | 14 ± 5 | 2 ± 2 | 0.7 |
Intracranial dissemination only | 5/69 (7) | 75 ± 22 | 50 ± 25 | 40 ± 22 | 20 ± 18 | |||
Distant spine only | 4/69 (6) | 50 ± 25 | 50 ± 25 | 25 ± 22 | 25 ± 22 | |||
Local + Distant spine | 9/69 (13) | 44 ± 17 | 11 ± 10 | 22 ± 14 | 0 | |||
Extent of resection | GTR | 64 | 75 ± 5 | 61 ± 7 | 0.002 | 48 ± 6 | 36 ± 6 | 0.0022 |
STR | 39 | 54 ± 8 | 32 ± 8 | 24 ± 7 | 16 ± 6 | |||
Treatment | XRT only | 41/101 | 79 ± 7 | 73 ± 7 | <0.0001 | 50 ± 8 | 42 ± 8 | 0.0016 |
Chemo only | 11/101 | 73 ± 13 | 45 ± 15 | 27 ± 13 | 18 ± 12 | |||
Chemo + XRT | 40/101 | 51 ± 8 | 26 ± 8 | 26 ± 7 | 14 ± 6 | |||
Observation | 9/101 | 88 ± 12 | 88 ± 12 | 63 ± 17 | 63 ± 17 |
Histopathologic features (n = 48) | Frequency (%) | 5-year OS ± SE | 10-year OS ± SE | OS p value* | 5-year PFS ± SE | 10-year PFS ± SE | PFS p value* | |
---|---|---|---|---|---|---|---|---|
Architecture | Classic (WHO Grade II) | 13 | 85 ± 10 | 67 ± 14 | 0.2 | 62 ± 13 | 44 ± 14 | 0.4 |
Anaplastic (WHO grade III) | 35 | 49 ± 11 | 38 ± 11 | 32 ± 10 | 27 ± 9 | |||
Necrosis | No | 11 | 82 ± 12 | 61 ± 15 | 0.1 | 36 ± 15 | 24 ± 14 | 0.8 |
Yes | 37 | 57 ± 8 | 44 ± 9 | 45 ± 8 | 32 ± 8 | |||
Vascular proliferation | No | 19 | 72 ± 11 | 61 ± 12 | 0.18 | 50 ± 12 | 39 ± 12 | 0.4 |
Yes | 29 | 57 ± 9 | 38 ± 10 | 38 ± 9 | 25 ± 9 | |||
P53 status | Negative | 20 | 74 ± 10 | 57 ± 12 | 0.5 | 55 ± 11 | 33 ± 11 | 0.7 |
Positive | 28 | 54 ± 10 | 41 ± 10 | 34 ± 9 | 29 ± 9 | |||
Blc-2 status | Negative | 6 | 100 | 50 ± 25 | 0.3 | 67 ± 19 | 44 ± 22 | 0.08 |
Positive | 42 | 58 ± 8 | 47 ± 8 | 39 ± 8 | 28 ± 7 | |||
MIB-1 LI | <20.5 | 31 | 74 ± 8 | 49 ± 10 | 0.9 | 52 ± 9 | 32 ± 9 | 0.8 |
≥20.5 | 17 | 44 ± 12 | 44 ± 12 | 25 ± 11 | 25 ± 11 | |||
Topo-II alpha expression | <9.4 | 34 | 75 ± 8 | 54 ± 9 | 0.052 | 49 ± 9 | 32 ± 8 | 0.2 |
≥9.4 | 14 | 36 ± 13 | 36 ± 13 | 29 ± 12 | 29 ± 12 | |||
Mitotic index | ≤10 | 40 | 67 ± 8 | 49 ± 8 | 0.3 | 45 ± 8 | 31 ± 8 | 0.4 |
>10 | 8 | 43 ± 19 | 43 ± 19 | 29 ± 17 | 29 ± 17 | |||
Cyclin D expression | Negative | 12 | 72 ± 14 | 48 ± 17 | 0.5 | 58 ± 14 | 29 ± 14 | 0.4 |
Positive | 36 | 60 ± 8 | 47 ± 8 | 37 ± 8 | 31 ± 8 |
aRestricted to patients who relapsed
*p value of log rank test