Metastatic Rhabdoid Meningioma with BRAF V600E Mutation and Good Response to Personalized Therapy: Case Report and Review of the Literature

被引:25
|
作者
Mordechai, Oz [1 ]
Postovsky, Sergey [1 ,2 ]
Vlodavsky, Eugene [2 ,3 ]
Eran, Ayelet [4 ]
Constantini, Shlomi [5 ]
Dotan, Eynat [6 ]
Cagnano, Emmanuela [7 ]
Weyl-Ben-Arush, Myriam [1 ,2 ]
机构
[1] Rambam Hlth Care Campus, Dept Pediat Hematol Oncol, IL-31096 Haifa, Israel
[2] Technion Israel Inst Technol, Rappaport Fac Med, Haifa, Israel
[3] Rambam Hlth Care Campus, Inst Pathol, IL-31096 Haifa, Israel
[4] Rambam Hlth Care Campus, Dept Radiol, IL-31096 Haifa, Israel
[5] Sourasky Med Ctr, Pediat Neurosurg Unit, Tel Aviv, Israel
[6] Sourasky Med Ctr, Dept Oncol, Tel Aviv, Israel
[7] Sourasky Med Ctr, Dept Pathol, Tel Aviv, Israel
关键词
BRAF mutation; MEK inhibitor; meningioma; targeted therapy; MELANOMA; INACTIVATION; INHIBITION; DABRAFENIB; TRIAL;
D O I
10.3109/08880018.2014.936058
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Rhabdoid meningioma is an aggressive phenotype of meningioma, associated with a poor prognosis. We present a very rare case of high-grade meningioma with rhabdoid features that eventually expressed in a coma state. Comprehensive genomic profiling using a Next Generation Sequencing (NGS) assay revealed three genomic alterations: activating BRAF mutation (V600E), loss of CDKN2A/2B, and APCI1307K. After treatment with BRAF inhibitor (dabrafenib), the child's clinical condition improved progressively. After seven months, an MEK inhibitor was added (trametinib).
引用
收藏
页码:207 / 211
页数:5
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