Complete durable response of a pediatric anaplastic oligodendroglioma to temozolomide alone: Case report and review of literature.

Abstract:

:Anaplastic oligodendroglioma (AO) is rare in children. Treatment typically consists of varying combinations of surgery, chemotherapy, and radiotherapy. We present a pediatric case of frontal lobe AO with periventricular subcallosal extension and local leptomeningeal involvement. The isocitrate dehydrogenase (IDH) wild-type tumor was MGMT methylated and contained an ATRX mutation, BRAF alteration, and 1p/19q co-deletion; a combination of alterations mostly encountered in pediatric oligodendrogliomas. The patient underwent a near total resection and had a complete, durable response to temozolomide alone, suggesting that conservative management without radiation may be appropriate in some cases. We review the literature of this uncommon subtype of glioma in children.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Sorge C,Li R,Singh S,Reddy AT,Solomon DA,Perry A,Friedman GK

doi

10.1002/pbc.26708

subject

Has Abstract

pub_date

2017-12-01 00:00:00

issue

12

eissn

1545-5009

issn

1545-5017

journal_volume

64

pub_type

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