Bevacizumab-Irinotecan combination therapy in recurrent low-grade glioma, previously treated with chemo-radiotherapy: a case report.

bevacizumab case report irinotecan low-grade gliomas pilocytic astrocytoma

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2023
Historique:
received: 22 06 2023
accepted: 14 08 2023
medline: 6 10 2023
pubmed: 6 10 2023
entrez: 6 10 2023
Statut: epublish

Résumé

Low grade gliomas (LGGs) of pineal region are usually difficult to remove and they frequently relapse or progress after front line chemotherapy. Bevacizumab-Irinotecan (BEVIRI) combination has been successfully attempted in children with recurrent LGGs, in most cases not previously irradiated. The efficacy of bevacizumab has also been described in radiation necrosis. Considering the possible overlapping of radiation treatment effect and disease progression and difficulty in differentiating, we report on the use of BEVIRI in a case of a recurrent relapsing low-grade glioma of the pineal region, subjected to multiple neurosurgical interventions, also treated with a carboplatin-etoposide regimen and a radiation course, at present at one-year follow-up showing a stable response, with no adverse events.

Identifiants

pubmed: 37799478
doi: 10.3389/fonc.2023.1244628
pmc: PMC10547897
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1244628

Informations de copyright

Copyright © 2023 Castelli, Fonte, Guidi, Tellini, Di Nicola, Iacono, Buccoliero, Greto, Genitori and Sardi.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Barbara Castelli (B)

Health Sciences Department, University of Florence, Florence, Italy.
Neuro-Oncology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Carla Fonte (C)

Neuro-Oncology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Milena Guidi (M)

Health Sciences Department, University of Florence, Florence, Italy.
Neuro-Oncology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Marco Tellini (M)

Neuro-Oncology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Marco Di Nicola (M)

Neuro-Oncology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Alessandro Iacono (A)

Radiology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Anna Maria Buccoliero (AM)

Pathology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Daniela Greto (D)

Radiotherapy Unit, University of Florence, Florence, Italy.

Lorenzo Genitori (L)

Neurosurgery Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Iacopo Sardi (I)

Neuro-Oncology Unit, Meyer Children's Hospital Scientific Institute for Research, Hospitalization and Healthcare (IRCCS), Florence, Italy.

Classifications MeSH