Evidence map›Paper›PMID 40063153›Full record

SynthesisNeurosurgical review2025

A systematic review of high-grade glioma associated with Li-Fraumeni syndrome.

Trent Kite, Vineetha Yadlapalli, Rhea Verma, Mokshal Porwal, John Herbst, Stephen Karlovits, Rodney E Wegner, Matthew J Shepard

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Trent KiteDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, US. Trenton.Kite@ahn.org.
Vineetha YadlapalliDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, US.
Rhea VermaDrexel University School of Medicine, Philidelphia, PA, US.
Mokshal PorwalDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, US.
John HerbstDivision of Neuro-Oncology, Allegheny Health Network Cancer Institute, Pittsburgh, PA, US.
Stephen KarlovitsDivision of Radiation-Oncology, Allegheny Health Network Cancer Institute, Pittsburgh, PA, US.
Rodney E WegnerDivision of Radiation-Oncology, Allegheny Health Network Cancer Institute, Pittsburgh, PA, US.
Matthew J ShepardDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, US.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Li-Fraumeni Syndrome (LFS) is a rare hereditary cancer syndrome characterized by an increased risk of early-onset and multiple tumors across various organ systems, predominantly linked to germline TP53 mutations. While commonly associated neoplasms include sarcomas, breast cancer, and adrenocortical carcinoma, the occurrence of high-grade gliomas (HGG), including glioblastoma multiforme (GBM), in LFS patients is less documented and typically presents at a younger age relative to sporadic cases. A systematic review following PRISMA guidelines was conducted, focusing on clinical studies and case reports that explore the association between HGG and LFS. A comprehensive PubMed search was used to capture relevant studies. The inclusion criteria focused on patients with a confirmed diagnosis of LFS and histopathologically verified HGG. A total of 248 articles were initially identified, with 8 studies meeting the final inclusion criteria after independent review and consensus. Overall, 8 studied reported on patients with either WHO grade 3 or 4 gliomas in the setting of LFS. In total these studies represent 12 patients, with 8 (66%) WHO grade 4, and 4 (33%) WHO grade 3. 9 (75%) patients underwent maximal safe resection, 5 (42%) underwent concurrent TMZ and EBRT. 9 (75%) patients underwent external beam radiation therapy (EBRT), 1 (8%) underwent intensity modulated radiation therapy (IMRT), and 1 (8%) underwent adjuvant treatment with tumor treating fields (TTF) therapy. Overall chemotherapy utilization was 75% with 9 patients receiving some form of chemotherapy. The median time to recurrence following initial treatment was 7 months (IQR: 2.00-7.00). Time to progression was variable, ranging from 5.1 months to 7 years. 64% of patients succumbed to their disease with a median OS of 17 months across studies. LFS associated HGGs are a genetically heterogenous entity. Detailed study of outcomes reported in the literature with respect to these genetics will develop further insight into therapeutic response and prognostication.

Indexed as

Brain NeoplasmsGliomaLi-Fraumeni SyndromeHumansNeoplasm GradingGermline TP53 variantHigh-grade-gliomaLi-Fraumeni syndromePrecision-medicine

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.