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胶质母细胞瘤治疗与继发性急性髓系白血病风险之间的平衡:一个说明性病例报告。

The Equipoise Between the Treatment of Glioblastoma and the Risk of Secondary Acute Myelogenous Leukemia: An Illustrative Case Report.

机构信息

The University of New Mexico, Albuquerque, USA.

出版信息

J Investig Med High Impact Case Rep. 2023 Jan-Dec;11:23247096231193266. doi: 10.1177/23247096231193266.

Abstract

We present a case report of a 56-year-old woman who was diagnosed with biopsy-proven left thalamic glioblastoma multiforme (GBM). She was treated with standard concurrent chemotherapy and radiation, as well as a 2-year period of adjuvant temozolomide. She relapsed 2 ½ years after starting her initial therapy and was treated with bevacizumab and lomustine, but she relapsed. She was then placed on a phase 1/2 clinical trial that included KHK2455 and mogamulizumab-kpkc individually and in combination for almost 4 years. She had a rapid demise due to the development of a neutropenic pneumonia and treatment-induced acute myeloid leukemia (AML) and elected for hospice care.

摘要

我们报告了一例 56 岁女性患者,经活检证实为左侧丘脑多形性胶质母细胞瘤(GBM)。她接受了标准的同期化疗和放疗,以及为期 2 年的辅助替莫唑胺治疗。初始治疗开始后 2 年半复发,接受贝伐珠单抗和洛莫司汀治疗,但仍复发。随后,她参加了一项为期 1/2 期的临床试验,包括单独使用和联合使用 KHK2455 和 mogamulizumab-kpkc 近 4 年。由于中性粒细胞减少性肺炎的发展以及治疗诱导的急性髓细胞性白血病(AML),她的病情迅速恶化,选择了临终关怀。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77fc/10440052/86b5094a8891/10.1177_23247096231193266-fig1.jpg

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