Very Long-term Survivorship in Pediatric DIPG: Case Report and Review of the Literature

被引:1
作者
Dimentberg, Evan [1 ]
Marceau, Marie-Pier [1 ]
Lachance, Alexandre [1 ]
Bergeron-Gravel, Samuel [2 ]
Saikali, Stephan [3 ]
Crevier, Louis [4 ]
Bourget, Catherine [5 ]
Hawkins, Cynthia [6 ]
Jabado, Nada [7 ]
Giannakouros, Panagiota [8 ]
Renzi, Samuele [8 ]
Larouche, Valerie [8 ,9 ]
机构
[1] Univ Laval, Fac Med, Quebec City, PQ, Canada
[2] Univ Laval, Div Radiat Oncol, CHU Quebec, Quebec City, PQ, Canada
[3] Univ Laval, Dept Mol Biol Med Biol & Pathol, CHU Quebec, Quebec City, PQ, Canada
[4] Univ Laval, Dept Surg, Div Neurosurg, CHU Quebec, Quebec City, PQ, Canada
[5] Univ Laval, Dept Radiol, CHU Quebec, Quebec City, PQ, Canada
[6] Univ Laval, Dept Pediat, Div Hemato Oncol, CHU Quebec, Quebec City, PQ, Canada
[7] Hosp Sick Children, Dept Lab Med & Pathobiol Neuropathol, Toronto, ON, Canada
[8] Montreal Childrens Hosp, Dept Pediat, Div Hemato Oncol, Montreal, PQ, Canada
[9] Univ Lavalx, CHU Quebec, 2705 Blvd Laurier, Ste Foy, PQ G1V 4G2, Canada
关键词
very long-term survivorship; diffuse intrinsic pontine glioma (DIPG); case report; INTRINSIC PONTINE GLIOMA; DIFFUSE; PROGRESSION; SURVIVAL; FEATURES; CHILDREN;
D O I
10.1097/MPH.0000000000002853
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Diffuse intrinsic pontine gliomas are lethal tumors with a prognosis generally less than 1 year. Few cases of survivors of 5 years or more have been reported. This case report highlights the journey of a 9.5-year survivor who underwent 3 rounds of focal radiotherapy; she experienced 6 years of progression-free survival following the first round but ultimately succumbed to her disease. An autopsy revealed a favorable IDH1 mutation and the absence of H3K27M. This case reiterates the importance of extensive molecular analyses in diffuse intrinsic pontine gliomas and explores the potential benefit of re-irradiation in patients with positive responses and long periods of remission.
引用
收藏
页码:211 / 215
页数:5
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