Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature

We present a case report of a patient with glioblastoma multiforme (GBM) complicated by extracranial metastasis (ECM) whose survival of nearly four years surpassed the anticipated life expectancy given numerous negative prognostic factors including EGFRvIII-mutation, unmethylated MGMT promoter statu...

Full description

Saved in:
Bibliographic Details
Main Authors: Mohamed H. Khattab, Ariel E. Marciscano, Simon S. Lo, Michael Lim, John J. Laterra, Lawrence R. Kleinberg, Kristin J. Redmond
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2015/431819
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849396192270614528
author Mohamed H. Khattab
Ariel E. Marciscano
Simon S. Lo
Michael Lim
John J. Laterra
Lawrence R. Kleinberg
Kristin J. Redmond
author_facet Mohamed H. Khattab
Ariel E. Marciscano
Simon S. Lo
Michael Lim
John J. Laterra
Lawrence R. Kleinberg
Kristin J. Redmond
author_sort Mohamed H. Khattab
collection DOAJ
description We present a case report of a patient with glioblastoma multiforme (GBM) complicated by extracranial metastasis (ECM) whose survival of nearly four years surpassed the anticipated life expectancy given numerous negative prognostic factors including EGFRvIII-mutation, unmethylated MGMT promoter status, and ECM. Interestingly, while this patient suffered from locally aggressive disease with multiple intracranial recurrences, the proximal cause of death was progressive extracranial disease and complications related to pulmonary metastases. Herein, we review potential mechanisms of ECM with an emphasis upon glioblastoma molecular and genetic profiles and the potential implications of targeted agents such as bevacizumab.
format Article
id doaj-art-b1e4f2f4d9ef4e6da76da58178a23322
institution Kabale University
issn 2090-6706
2090-6714
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Oncological Medicine
spelling doaj-art-b1e4f2f4d9ef4e6da76da58178a233222025-08-20T03:39:25ZengWileyCase Reports in Oncological Medicine2090-67062090-67142015-01-01201510.1155/2015/431819431819Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the LiteratureMohamed H. Khattab0Ariel E. Marciscano1Simon S. Lo2Michael Lim3John J. Laterra4Lawrence R. Kleinberg5Kristin J. Redmond6Department of Radiation Oncology & Molecular Radiation Sciences, Johns Hopkins University, 401 North Broadway, Suite 1440, Baltimore, MD 21231-5678, USADepartment of Radiation Oncology & Molecular Radiation Sciences, Johns Hopkins University, 401 North Broadway, Suite 1440, Baltimore, MD 21231-5678, USADepartment of Radiation Oncology, Case Western Reserve University, University Hospitals Seidman Cancer Center, Cleveland, OH 44106, USADepartment of Radiation Oncology & Molecular Radiation Sciences, Johns Hopkins University, 401 North Broadway, Suite 1440, Baltimore, MD 21231-5678, USADepartment of Neurology/Neuro-Oncology, Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD 21287, USADepartment of Radiation Oncology & Molecular Radiation Sciences, Johns Hopkins University, 401 North Broadway, Suite 1440, Baltimore, MD 21231-5678, USADepartment of Radiation Oncology & Molecular Radiation Sciences, Johns Hopkins University, 401 North Broadway, Suite 1440, Baltimore, MD 21231-5678, USAWe present a case report of a patient with glioblastoma multiforme (GBM) complicated by extracranial metastasis (ECM) whose survival of nearly four years surpassed the anticipated life expectancy given numerous negative prognostic factors including EGFRvIII-mutation, unmethylated MGMT promoter status, and ECM. Interestingly, while this patient suffered from locally aggressive disease with multiple intracranial recurrences, the proximal cause of death was progressive extracranial disease and complications related to pulmonary metastases. Herein, we review potential mechanisms of ECM with an emphasis upon glioblastoma molecular and genetic profiles and the potential implications of targeted agents such as bevacizumab.http://dx.doi.org/10.1155/2015/431819
spellingShingle Mohamed H. Khattab
Ariel E. Marciscano
Simon S. Lo
Michael Lim
John J. Laterra
Lawrence R. Kleinberg
Kristin J. Redmond
Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature
Case Reports in Oncological Medicine
title Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature
title_full Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature
title_fullStr Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature
title_full_unstemmed Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature
title_short Antiangiogenic Therapies and Extracranial Metastasis in Glioblastoma: A Case Report and Review of the Literature
title_sort antiangiogenic therapies and extracranial metastasis in glioblastoma a case report and review of the literature
url http://dx.doi.org/10.1155/2015/431819
work_keys_str_mv AT mohamedhkhattab antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature
AT arielemarciscano antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature
AT simonslo antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature
AT michaellim antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature
AT johnjlaterra antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature
AT lawrencerkleinberg antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature
AT kristinjredmond antiangiogenictherapiesandextracranialmetastasisinglioblastomaacasereportandreviewoftheliterature