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Case Reports
MRI reveals a pronounced treatment response of a IDH- and BRAF-wildtype epithelioid glioblastoma.
- Jan-Michael Werner, Anna Brunn, Gereon R Fink, and Norbert Galldiks.
- Department of Neurology, Faculty of Medicine and University Hospital Cologne, Cologne, Germany.
- World Neurosurg. 2019 Jul 1; 127: 213-215.
AbstractWe here report findings on magnetic resonance imaging from a 60-year-old patient with an epithelioid glioblastoma of the corpus callosum treated with radiotherapy in combination with concomitant and adjuvant temozolomide. Neuropathology revealed a highly aggressive molecular subtype of the epithelioid glioblastoma without an isocitrate dehydrogenase and B-Raf proto-oncogene mutation or a O6-methylguanine-DNA-methyltransferase promoter hypermethylation. This subtype is typically associated with an unfavorable clinical course and poor overall survival. Unexpectedly, the first follow-up magnetic resonance imaging 10 weeks after chemoradiation completion revealed an early and almost complete treatment response.Copyright © 2019 Elsevier Inc. All rights reserved.
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