Department of Neurology, Division of Neuro-Oncology, University of California, Irvine, CA 92868, USA.
Department of Pathology, University of California, San Francisco, CA 94143, USA.
CNS Oncol. 2024 Jun 6;13(1):2351789. doi: 10.1080/20450907.2024.2351789. Epub 2024 Jun 12.
Glioblastoma is the most common malignant primary brain tumor. Despite its infiltrative nature, extra-cranial glioblastoma metastases are rare. We present a case of a 63-year-old woman with metastatic glioblastoma in the lungs. Sarcomatous histology, a reported risk factor for disseminated disease, was found. Genomic alterations of mutation, mutation, mutation, and +7/-10 were also uncovered. Early evidence suggests these molecular aberrations are common in metastatic glioblastoma. Treatment with third-line lenvatinib resulted in a mixed response. This case contributes to the growing body of evidence for the role of genomic alterations in predictive risk in metastatic glioblastoma. There remains an unmet need for treatment of metastatic glioblastoma.
胶质母细胞瘤是最常见的原发性恶性脑肿瘤。尽管具有浸润性,但颅外胶质母细胞瘤转移较为罕见。我们报告了一例 63 岁女性肺部转移性胶质母细胞瘤病例。该患者的组织学表现为肉瘤样,这是一种报道的播散性疾病的危险因素。还发现了 突变、 突变、 突变和 +7/-10 的基因组改变。早期证据表明,这些分子异常在转移性胶质母细胞瘤中较为常见。三线仑伐替尼治疗后混合反应。该病例为基因组改变在转移性胶质母细胞瘤预测风险中的作用提供了更多的证据。转移性胶质母细胞瘤的治疗仍存在未满足的需求。