• M. V. Matsko
  • E. I. Luchin
  • A. G. Iyevleva
  • D. V. Bakholdin
  • S. N. Abysheva
  • E. V. Zavgorodnyaya
  • O. N. Potapova
  • E. N. Imyanitov
  • A. Yu Ulitin
  • D. E. Matsko

Radiochemotherapy is leading the universal research effort in fighting lethality: it is improving relapse-free survival of patients with inoperable glioblastoma, the most pernicious brain tumor in adults. Its effectiveness was found to depend on expression of Mgmt gene of tumor DNA reparation following radiochemotherapy and adequate medication based on the molecular phenotype of tumor. Our study involved a 40-year old male with a low level of Mgmt gene expression as established by stereotactic biopsy. The patient received hypofractionated three-dimensional conformational proton therapy with the benefit of temozolomide (140 mg/24 hr). Subsequently, the dose was raised to 360 mg/24 hr, on days 1-5 of the cycle. Contrast-enhanced MRI examination established significant diminishing of the size of tumors on completion of cycles 7 and 8; patients felt better, memory and blood indices improved. As of the time this paper was written, relapse-free survival was 173 months, as compared with the literature data on inoperable glioblastoma - 5.5 months.

Translated title of the contributionSignificant regression of glioblastoma with low level of mgmt gene expression following radiotherapy
Original languageRussian
Pages (from-to)245-249
Number of pages5
JournalVoprosy Onkologii
Volume57
Issue number2
StatePublished - 13 Jul 2011

    Scopus subject areas

  • Oncology
  • Cancer Research

ID: 39058443