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1.
Neurosurg Rev ; 47(1): 581, 2024 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-39254832

RESUMO

The systematic review and meta-analysis titled "The Effects of Dabrafenib and/or Trametinib Treatment in BRAF V600-Mutant Glioma" provides a critical evaluation of these targeted therapies for a challenging subset of gliomas. This review is notable for its comprehensive data integration, offering a robust assessment of the efficacy and safety of dabrafenib and trametinib. By focusing on BRAF V600 mutations, it contributes valuable insights into personalized treatment strategies. However, limitations include study heterogeneity and a lack of long-term follow-up data, which hinder the generalizability and complete understanding of treatment effects. Additionally, while the review emphasizes therapeutic potential, it requires a thorough evaluation of adverse effects. Future research should address these limitations by providing more consistent data, longer follow-up, and a balanced view of treatment risks and benefits.


Assuntos
Neoplasias Encefálicas , Glioma , Imidazóis , Mutação , Oximas , Proteínas Proto-Oncogênicas B-raf , Piridonas , Pirimidinonas , Humanos , Oximas/uso terapêutico , Pirimidinonas/uso terapêutico , Proteínas Proto-Oncogênicas B-raf/genética , Piridonas/uso terapêutico , Glioma/tratamento farmacológico , Glioma/genética , Imidazóis/uso terapêutico , Neoplasias Encefálicas/tratamento farmacológico , Neoplasias Encefálicas/genética
2.
Neurosurg Rev ; 47(1): 146, 2024 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-38600419

RESUMO

This critique evaluates a letter to the editor discussing prognostic factors in primary central nervous system lymphoma (PCNSL), focusing on C-reactive protein (CRP) levels, prognostic nutritional index (PNI), and lactate dehydrogenase (LDH)-to-lymphocyte ratio. While the letter provides valuable insights, limitations including reliance on a single-center dataset, lack of consideration for potential confounders, insufficient contextualization within existing literature, and limited discussion of clinical implications are identified. Addressing these limitations is crucial for enhancing the relevance and applicability of the findings in PCNSL management.


Assuntos
Proteína C-Reativa , Neoplasias do Sistema Nervoso Central , Lactato Desidrogenases , Linfócitos , Linfoma , Humanos , Proteína C-Reativa/análise , Sistema Nervoso Central , Neoplasias do Sistema Nervoso Central/diagnóstico , Lactato Desidrogenases/análise , Linfoma/diagnóstico , Avaliação Nutricional , Prognóstico , Estudos Retrospectivos
3.
Neurosurg Rev ; 47(1): 143, 2024 Apr 08.
Artigo em Inglês | MEDLINE | ID: mdl-38587760

RESUMO

This critique evaluates a retrospective study comparing surgical outcomes for thoracic dumbbell tumors utilizing different approaches. The study provides comprehensive insights into the management of this complex condition, highlighting the strengths and weaknesses of its methodology and findings. While the study offers valuable information for guiding clinical practice, its retrospective design and inherent limitations warrant careful interpretation of the results. Addressing these limitations through prospective studies with randomized designs and larger patient populations could further enhance our understanding of the optimal surgical approach for thoracic dumbbell tumors.


Assuntos
Neoplasias , Cirurgia Torácica Vídeoassistida , Humanos , Estudos Prospectivos , Estudos Retrospectivos , Resultado do Tratamento
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