Treatment of astrocytoma grade III with Photofrin II as a radiosensitizer. A case report

Strahlenther Onkol. 2013 Nov;189(11):972-6. doi: 10.1007/s00066-013-0430-2. Epub 2013 Oct 26.

Abstract

Introduction: Astrocytomas are neoplasms that originate from glial cells. Anaplastic astrocytoma is classified as WHO III, with 27 % of the individuals with grade III astrocytoma living for at least 5 years even after treatment (radiation and chemotherapy). Photofrin II has been demonstrated to serve as a specific and selective radiosensitizing agent in both in vitro and in vivo tumor models.

Material and methods: This case report presents a woman suffering from an inoperable astrocytoma WHO III since 2004. The patient was treated with radiation therapy and Photofrin II as a radiosensitiser. The patient underwent irradiation with 40 + 20 Gy boost. The patient was given a single intravenous dose of 1 mg/kg Photofrin II 24 h prior to the initiation of radiation therapy.

Results: The patient is still alive without any significant side effect with a follow up of 106 months. MRI shows no evidence of disease.

Conclusion: The follow-up results are encouraging regarding the application of Photofrin II as an effective radiosensitizing agent in the treatment of inoperable WHO III astrocytoma.

Publication types

  • Case Reports

MeSH terms

  • Astrocytoma / pathology*
  • Astrocytoma / radiotherapy*
  • Brain Neoplasms / pathology*
  • Brain Neoplasms / radiotherapy*
  • Dihematoporphyrin Ether / therapeutic use*
  • Female
  • Humans
  • Middle Aged
  • Neoplasm Grading
  • Radiation-Sensitizing Agents / therapeutic use*
  • Treatment Outcome

Substances

  • Radiation-Sensitizing Agents
  • Dihematoporphyrin Ether