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- Title
Complete response after one cycle of temozolomide in an elderly patient with glioblastoma and poor performance status.
- Authors
François Ducray; Alexandra Benouaich-Amiel; Ahmed Idbaih; Audrey Rousseau; Florence Laigle-Donadey; Jean-Yves Delattre; Marc Sanson
- Abstract
Abstract There is no standard of care for elderly patients with glioblastoma (GBM) and poor performance status. A 79-year-old woman with GBM, aphasia, and hemiplegia achieved a complete response after only one cycle of temozolomide (TMZ) (150 mg/m2/day over 5 days). Genomic profiling of the tumor demonstrated loss of chromosome 10 and MDM2 amplification, which are predictive of poor outcome. The MGMT promoter was methylated, and it is likely that this at least partially explains the exquisite chemosensitivity in our patient. This unusual case report suggests that TMZ warrants further investigation in elderly patients with poor performance status.
- Subjects
OLDER patients; GLIOBLASTOMA multiforme; PERFORMANCE; MEDICAL care
- Publication
Journal of Neuro-Oncology, 2008, Vol 88, Issue 2, p185
- ISSN
0167-594X
- Publication type
Article
- DOI
10.1007/s11060-008-9546-0