Chang Heng-Jui, Ke Chiao-Hsu, Wang Yu-Shan, Kuo Yu-Cheng
Department of Radiation Oncology, Wesing Surgery Hospital, Kaohsiung, Taiwan.
Department of Chemical Engineering and Biotechnology, Institute of Chemical Engineering, National Taipei University of Technology, Taipei, Taiwan.
Front Oncol. 2025 Mar 28;15:1451408. doi: 10.3389/fonc.2025.1451408. eCollection 2025.
Glioblastoma (GBM) is an aggressive primary brain tumor with a poor prognosis, often characterized by rapid progression and resistance to conventional therapies. This case report discusses the comprehensive management of a 60-year-old female diagnosed with residual GBM following initial surgical intervention. The treatment regimen included craniectomy, concurrent chemoradiotherapy (CCRT), adjuvant temozolomide, and weekly sessions of modulated electro-hyperthermia (mEHT, Oncothermia). Remarkably, the patient exhibited significant tumor shrinkage, improved neurological symptoms, and an extended survival period compared to typical outcomes. mEHT was utilized to enhance the efficacy of chemoradiotherapy and temozolomide by selectively targeting cancer cells and improving drug delivery. Integrating mEHT into the standard treatment protocol appears to have contributed to better therapeutic outcomes and improved quality of life for the patient. This case underscores the potential benefits of incorporating mEHT into multimodal treatment strategies for GBM, highlighting its role in enhancing the effects of conventional therapies. Future research and clinical trials are warranted to further explore the synergistic effects of mEHT with standard GBM treatments, aiming to establish more effective protocols and improve overall patient survival and quality of life. This report adds to the growing body of evidence supporting the use of innovative, integrative approaches in the management of aggressive brain tumors like GBM.
胶质母细胞瘤(GBM)是一种侵袭性原发性脑肿瘤,预后较差,其特点通常是进展迅速且对传统疗法耐药。本病例报告讨论了一名60岁女性在初次手术干预后被诊断为残留GBM的综合治疗情况。治疗方案包括颅骨切除术、同步放化疗(CCRT)、辅助替莫唑胺治疗以及每周一次的调制式电高热疗法(mEHT,肿瘤热疗)。值得注意的是,与典型结果相比,该患者肿瘤显著缩小,神经症状改善,生存期延长。mEHT通过选择性靶向癌细胞和改善药物递送,增强了放化疗和替莫唑胺的疗效。将mEHT纳入标准治疗方案似乎有助于取得更好的治疗效果,并改善患者的生活质量。本病例强调了将mEHT纳入GBM多模式治疗策略的潜在益处,突出了其在增强传统疗法效果方面的作用。未来有必要开展研究和临床试验,进一步探索mEHT与GBM标准治疗的协同效应,旨在建立更有效的方案,提高患者的总体生存率和生活质量。本报告为支持在GBM等侵袭性脑肿瘤管理中使用创新综合方法的越来越多的证据增添了内容。