丘脑胶质母细胞瘤经质子治疗、替莫唑胺及肿瘤电场治疗后达到完全放射学缓解的病例报告

Case Report of Complete Radiological Response of a Thalamic Glioblastoma After Treatment With Proton Therapy Followed by Temozolomide and Tumor-Treating Fields.

作者信息

Stein Marco, Dohmen Hildegard, Wölk Bernhard, Eberle Fabian, Kolodziej Malgorzata, Acker Till, Uhl Eberhard, Jensen Alexandra

机构信息

Department of Neurosurgery, Justus-Liebig University, Giessen, Germany.

Institute of Neuropathology, Justus-Liebig University, Giessen, Germany.

出版信息

Front Oncol. 2020 Apr 21;10:477. doi: 10.3389/fonc.2020.00477. eCollection 2020.

Abstract

Glioblastoma (GBM) is the most common and aggressive primary brain tumor in adults. We present a case of a 42-year-old male patient presenting with headache and vomiting. Imaging demonstrated obstructive hydrocephalus and a ring-enhancing lesion in the right posterior thalamus. After endoscopic third ventriculostomy and stereotactic biopsy, the histopathologic diagnosis of a malignant glioma was confirmed by DNA methylation array as GBM isocitrate dehydrogenase wild type. The patient was treated with combined treatment of chemoradiation with temozolomide (TMZ) including proton boost, TMZ maintenance, and tumor-treating fields. In this case report, complete radiological response was observed 1 year after the end of radiation therapy.

摘要

胶质母细胞瘤(GBM)是成人中最常见且侵袭性最强的原发性脑肿瘤。我们报告一例42岁男性患者,表现为头痛和呕吐。影像学检查显示梗阻性脑积水以及右侧丘脑后部有一个环形强化病变。在内镜下第三脑室造瘘术和立体定向活检后,通过DNA甲基化阵列确诊为恶性胶质瘤,该GBM异柠檬酸脱氢酶野生型。患者接受了替莫唑胺(TMZ)同步放化疗联合治疗,包括质子束增强、TMZ维持治疗以及肿瘤电场治疗。在本病例报告中,放疗结束1年后观察到完全的影像学缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd3a/7186451/b57a5ea8e4a2/fonc-10-00477-g0001.jpg

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