Bevacizumab in the Treatment of Refractory Brain Edema in High-grade Glioma

Author:

Alsahlawi Aysha K.1,Michaud-Couture Claudie2,Lachance Alexandre2,Bergeron-Gravel Samuel3,Létourneau Mélanie3,Bourget Catherine4,Gould Peter V.5,Giannakouros Panagiota6,Nakada Emily M.7,Faury Damien7,Crevier Louis8,Bouffet Éric910,Jabado Nada7,Larouche Valérie6,Renzi Samuele6

Affiliation:

1. Department of Neurological Surgery, McGill University, Montreal, Canada

2. Faculty of Medicine, Université Laval, Quebec, Canada

3. Division of Radiation Oncology, CHU de Québec - Université Laval, Quebec, Canada

4. Department of Diagnostic Radiology, CHU de Québec - Université Laval, Quebec, Canada

5. Division of Molecular Biology, Medical Biochemistry and Pathology, CHU de Québec - Université Laval, Quebec, Canada

6. Department of Pediatrics, Division of Hemato-Oncology, CHU de Québec-Université Laval, Quebec, Canada

7. Department of Pediatrics, McGill University, and The Research Institute of the McGill University Health Centre, Montreal, Canada

8. Division of Neurosurgery, Department of Surgery, CHU de Québec - Université Laval, Quebec, Canada

9. The Arthur and Sonia Labatt Brain Tumour Research Centre, The Hospital for Sick Children, Toronto, Ontario, Canada

10. Division of Haematology/Oncology, Department of Pediatrics, The Hospital for Sick Children, Toronto, Ontario, Canada

Abstract

We report the case of a 14-year-old boy with a steroid-dependent refractory tumor whose longstanding dexamethasone treatment was successfully discontinued after a course of bevacizumab. The use of bevacizumab despite the absence of clear evidence of radionecrosis allowed a significant decrease in the amount of the brain edema.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

Reference20 articles.

1. Bevacizumab for pediatric radiation necrosis;Baroni;Neurooncol Pract,2020

2. Response assessment in paediatric high-grade glioma: recommendations from the Response Assessment in Pediatric Neuro-Oncology (RAPNO) working group;Erker;Lancet Oncol,2020

3. Clinical implications of the 2021 edition of the WHO classification of central nervous system tumours;Horbinski;Nat Rev Neurol,2022

4. Classification and treatment of pediatric gliomas in the molecular era;Hauser;Children (Basel),2021

5. Tumor-associated edema in brain cancer patients: pathogenesis and management;Roth;Expert Rev Anticancer Ther,2013

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