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Data collection methods, characteristics of participating hospitals and patients, and assessment of data quality have been described elsewhere, and has been used extensively in treatment description of primary brain tumors[ 14 , 15 ]. Institutional Review Board approval was obtained as exception as determined by the University of Kentucky.
Cases of diffuse glioma were identified using the International Classification of Disease for Oncology ICD histology codes —, , , , , , , , , , , , Living area, as determined by the zip code of the patient recorded at the time of diagnosis was used to classify patients as urban or rural, as defined by the United States Department of Agriculture Economic Research Service[ 16 ].
Tumor location was defined as midline brainstem, spine, and ventricles not otherwise specified , cerebrum cerebrum and lobes , or other including meninges, brain, and nervous system not otherwise specified. Disease characteristics included in our analyses were primary site location, histology group, chromosome 1p, and chromosome 19q loss of heterozygosity. Histology groups were divided into astrocytic , , , , , , , , oligodendroglial , , , and mixed , , as NCDB uses the WHO classification.
Co-deletion was defined as having both chromosomal arm deletions as reported in the Collaborative Stage Site-Specific Factors by NCDB, cases negative for both chromosome deletions were defined as negative, and patients with only one deletion reported were considered incomplete. Treatment received was assessed as first course of treatment at any CoC facility, as previously described by our group[ 18 ].
Statistical analysis Chi square was performed for categorical variables.
Age groups cutoff were determined based on historical reports[ 10 , 11 ] and increased mortality cutoffs using area under the curve. Survival and risk of mortality was assessed as previously described by our group using Kaplan Meier and Cox proportional hazards models[ 18 ].
The level of statistical significance was set at 0. Results A total of 13, cases were identified.
Race was collected for The most common race was white Competing interests: The authors have declared that no competing interests exist. They also differ in their expression pattern and the phenotype of knockout in mice. CK2 has been implicated in cancer in humans and mice [ 10 — 14 ]. CK2 proteins are upregulated in the human tumors tested so far, suggesting a role in cancer progression Reviewed in [ 15 , 16 ]. In cancer, CK2 is proposed to regulate essential cellular processes such as cell growth [ 21 ], cell proliferation [ 22 , 23 ],cell survival [ 24 , 25 ], cell morphology [ 26 , 27 ], cell transformation [ 12 , 13 ] and angiogenesis [ 28 ].
These data suggest that CK2 is a target for cancer therapy and hence, several CK2 inhibitors are being tested in clinical trials reviewed in [ 16 , 34 , 35 ]. The importance of CK2 transcripts in cancer is also being investigated. The original view in the literature is that CK2 is predominantly regulated post-transcriptionally, however, recent studies strongly suggest that regulation at the transcriptional level is also important in some cancers [ 9 ], and references within. Unpredictably, some cancers show underexpression of CK2 transcripts e.
Importantly, recent studies show that CK2 transcripts could have a diagnostic value e.
Furthermore, CK2 transcript levels could have a prognostic value in cancers e. For the most part, high levels of CK2 transcript correlate with lower overall survival e. Overall, these data indicate the need to determine the extent to which CK2 genes could be significantly up- or down-regulated in other cancers not studied so far, and raise the question of whether in these other cancers CK2 gene expression levels correlated with overall patient survival.
Therefore, using Oncomine, we analyzed the expression levels of CK2 transcripts in bladder, central nervous system CNS , cervical, esophageal, gastric, head and neck, kidney, blood leukemia, non-Hodgkin lymphoma, monoclonal gammopathies , liver, mesothelioma, parathyroid, sarcoma, skin, and testicular cancers.
We also analyzed the correlation between CK2 gene expression and overall patient survival to determine whether it has prognostic value, in cancers where data was available. This database contains different datasets, each containing the data from a single publication.
We used datasets that compared cancer vs. We used the default view, where all the expression data included is obtained before cancer treatment.
Methods We systematically reviewed the pertinent literature on predefined key questions about these tumors which were agreed upon by a consensus of the investigators , concerning imaging, the removal of cervical lymph nodes, and resection of the primary tumor. Results clinical trials were selected for review on the basis of abstracts.
Patients with mucosal changes of an unclear nature persisting for more than two weeks should be examined by a specialist without delay. The diagnosis is made by computed tomography or magnetic resonance imaging along with biopsy and a standardized histopathological examination. Advanced disease stages T3 and T4 should be treated by surgery followed by radiotherapy, with or without chemotherapy.
Depending on the radicality of surgery and radiotherapy, there may be functional deficits, osteoradionecrosis, and xerostomia. Reconstructive measures, particularly microsurgical ones, have proven their usefulness and are an established component of surgical treatment. The annual total of around new cancers among men in Germany includes approximately 10 cases of oral cavity cancer; for women the figures are somewhat lower ca.
In the past few years it has also been clearly shown that the presence of human papilloma virus HPV 16 in serum represents a further risk factor 3.