The Equipoise Between the Treatment of Glioblastoma and the Risk of Secondary Acute Myelogenous Leukemia: An Illustrative Case Report

J Investig Med High Impact Case Rep. 2023 Jan-Dec:11:23247096231193266. doi: 10.1177/23247096231193266.

Abstract

We present a case report of a 56-year-old woman who was diagnosed with biopsy-proven left thalamic glioblastoma multiforme (GBM). She was treated with standard concurrent chemotherapy and radiation, as well as a 2-year period of adjuvant temozolomide. She relapsed 2 ½ years after starting her initial therapy and was treated with bevacizumab and lomustine, but she relapsed. She was then placed on a phase 1/2 clinical trial that included KHK2455 and mogamulizumab-kpkc individually and in combination for almost 4 years. She had a rapid demise due to the development of a neutropenic pneumonia and treatment-induced acute myeloid leukemia (AML) and elected for hospice care.

Keywords: GBM; acute myeloid leukemia; glioblastoma multiforme; hematology oncology; mogamulizumab; neuro-oncology; temozolomide; treatment-related AML.

Publication types

  • Case Reports

MeSH terms

  • Brain Neoplasms*
  • Female
  • Glioblastoma* / drug therapy
  • Humans
  • Leukemia, Myeloid, Acute* / drug therapy
  • Lomustine / therapeutic use
  • Middle Aged
  • Temozolomide / therapeutic use

Substances

  • Temozolomide
  • Lomustine