| Inclusion Criteria: | Karnofsky performance status >/=60.
Pre & post-op contrast-enhanced MRI.
If pt had only a stereotactic biopsy, then a post biopsy scan is not necessary.
Signed informed consent.
Pts w/ prior biopsy-proven low grade astrocytoma who now have a biopsy-proven anaplastic astrocytoma and have not been previously treated w/either radiation or chemotherapy
Adequate bone marrow reserve hemoglobin >/=10grams, ANC >/=1500/mm3, plt >/=150,000/mm3, liver function tests (AST/SGOT, alkaline phosphatase, total bilirubin) <2 x upper limit of normal, serum creatinine <1.5 X normal
Histologically confirmed unifocal anaplastic astrocytoma by central review or mixed oligodendroglial/astrocytic tumors where the oligodendroglial component is less than or equal to 25%.
Any pre-existing lung disease that will prevent administration or completion of therapy with BCNU.
Therapy must begin within 6 weeks after tissue diagnosis. Any pre-existing lung disease that in the investigator's opinion will prevent admin. or completion of tx with BCNU. |