Astrocytomas Vs Glioblastoma Essay

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Any tumor that arises from the supportive tissue or glial cell, of the brain is called a “glioma” [8]. Astrocytoma is the one type of glyoma. It is named after astrocytes. Astrocytes are star-shaped cells from which they grow.According to the degree of abnormality Astrocytomas are graded in to I to IV classes [8] .These classes are Pilocytic Astrocytomas (PA) , Diffuse Astrocytoma, Anaplastic Astrocytomas(AA) and Glioblastoma Multiformeor( GBM) .
Pilocytic Astrocytomas are generally slow growing, non-infiltrative pediatric tumors [9] and rarely fatal. Pilocytic astrocytoma appears most commonly in young adults and children, with most cases (75%) indicating in the first 2 decades of life [10,11,12].
Diffuse Astrocytoma may be arises anywhere in the brain, but are most common in the cerebral hemispheres the “thinking” part of the
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Grade IV astrocytomas are two types i.e Primary and secondary tumors , as we know that primary tumors are very aggressive and the most common form of astrocytoma grade IV [19] and the secondary tumors are those which originate as a lower-grade tumor and evolve into a grade IV tumor. It is distinguished histopathologically from diffuse lower-grade astrocytomas by the presence of necrosis or micro vascular proli-feration[20].Among several tumor suppressor genes, p53 reveal to play a key role in the pathogenesis of many prevalent malignancies [21] including brain cancer. p53 has been displayed to exert tumor suppressor activity by impelling apoptosis , initiating the cell cycle [22], stimulating cell differentiation [23], and being involved in DNA repair pathways [24]. Mutations in the p53 gene are identified in about 28% of de novo GBM and 65% of secondary [25], thus indicating that p53 abnormalities are common in the progression from a low grade lesion to a high grade lesion

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