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安罗替尼治疗伴有 PDGFR-α 突变的 H3K27M 突变弥漫中线胶质瘤患者的靶向治疗:病例报告。

Targeted therapy with anlotinib for a H3K27M mutation diffuse midline glioma patient with PDGFR-α mutation: a case report.

机构信息

Department of Neurosurgery, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing, 210002, Jiangsu, China.

出版信息

Acta Neurochir (Wien). 2022 Aug;164(8):2063-2066. doi: 10.1007/s00701-021-05061-1. Epub 2021 Nov 23.

DOI:10.1007/s00701-021-05061-1
PMID:34812950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8609840/
Abstract

H3K27M-mutant diffuse midline glioma (H3K27M-mt DMG) was a novel entity, which was defined by K27M mutations in H3F3A or HIST1H3B/C in the 2016 WHO updated fourth edition of the central nervous system (CNS) tumor classification. There is an urgent need for effective therapeutic strategies. Anlotinib is a multitarget tyrosine kinase inhibitor, which has not been reported for H3K27M-mt DMG treatment. Here, we firstly reported an adult multifocal H3K27M-mt DMG patient benefiting from anlotinib. This report provides a promising treatment option for H3K27M-mt DMG patients.

摘要

H3K27M 突变弥漫性中线胶质瘤(H3K27M-mt DMG)是一种新的实体肿瘤,其定义为在 2016 年世界卫生组织更新的第四版中枢神经系统(CNS)肿瘤分类中 H3F3A 或 HIST1H3B/C 中的 K27M 突变。目前迫切需要有效的治疗策略。安罗替尼是一种多靶点酪氨酸激酶抑制剂,尚未有用于 H3K27M-mt DMG 治疗的报道。在这里,我们首次报道了一例接受安罗替尼治疗的成人多灶性 H3K27M-mt DMG 患者。该报告为 H3K27M-mt DMG 患者提供了一种有前景的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c66/8609840/76fc1819bce2/701_2021_5061_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c66/8609840/6986eb67e8a7/701_2021_5061_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c66/8609840/76fc1819bce2/701_2021_5061_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c66/8609840/6986eb67e8a7/701_2021_5061_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c66/8609840/76fc1819bce2/701_2021_5061_Fig2_HTML.jpg

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引用本文的文献

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J Neurosurg Case Lessons. 2024 Jan 22;7(4). doi: 10.3171/CASE23598.
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The clinicopathological features and prognosis of multifocal high-grade gliomas in adults with mutation.

本文引用的文献

1
Diffuse high-grade gliomas with H3 K27M mutations carry a dismal prognosis independent of tumor location.弥漫性高级别胶质瘤伴 H3 K27M 突变无论肿瘤位置如何,预后均较差。
Neuro Oncol. 2018 Jan 10;20(1):123-131. doi: 10.1093/neuonc/nox149.
伴有突变的成人多灶性高级别胶质瘤的临床病理特征及预后
Neurosciences (Riyadh). 2023 Jan;28(1):42-47. doi: 10.17712/nsj.2023.1.20220080.