The detection of 1p/19q heterozygous deletion has important implications for clinical treatment guidance and prognosis of oligodendroglioma. 100% of patients with heterozygous deletions on chromosome 1p/19q were found sensitive to chemotherapy with PVC regimen, with an average survival of 10 years; the average survival of patients without such genetic alterations was only 2 years. The 1p/19q heterozygous deletion is an independent prognostic factor with significant prognosis, even in recurrent cases. 1p/19q heterozygous deletion is a specific molecular genetic alteration in oligodendroglioma, but it is not the only change, so detection of 1p/19q heterozygous deletion is not recommended for differential diagnosis alone. However, for patients with confirmed oligodendroglioma, detection of 1p/19q heterozygous deletions can provide valuable information to clinicians.