Title |
Anti-VEGF therapy in pituitary carcinoma
|
---|---|
Published in |
Pituitary, September 2011
|
DOI | 10.1007/s11102-011-0346-8 |
Pubmed ID | |
Authors |
Leon D. Ortiz, Luis V. Syro, Bernd W. Scheithauer, Ayca Ersen, Humberto Uribe, Camilo E. Fadul, Fabio Rotondo, Eva Horvath, Kalman Kovacs |
Abstract |
We report the case of a 44-year-old male patient with an aggressive silent corticotroph cell pituitary adenoma, subtype 2. In that it progressed to carcinoma despite temozolomide administration, anti-VEGF therapy was begun. MRI, PET scan and pathologic analysis were undertaken. After 10 months of anti-VEGF (bevacizumab) treatment no progression of the lesion was noted. The tumor was biopsied and morphological analysis showed severe cell injury, vascular abnormalities and fibrosis. Bevacizumab treatment has continued for additional 16 months to present with stabilization of disease as documented on serial MRI and PET scans. This is the first case of a bevacizumab-treated pituitary carcinoma with long-term, now 26 months, control of disease. The present findings are promising in that anti-angiogenic therapy appears to represent a new option in the treatment of aggressive pituitary tumors. |
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Geographical breakdown
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Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 34 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 5 | 15% |
Researcher | 5 | 15% |
Student > Bachelor | 4 | 12% |
Student > Doctoral Student | 3 | 9% |
Lecturer | 2 | 6% |
Other | 5 | 15% |
Unknown | 10 | 29% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 21 | 62% |
Unspecified | 1 | 3% |
Biochemistry, Genetics and Molecular Biology | 1 | 3% |
Environmental Science | 1 | 3% |
Nursing and Health Professions | 1 | 3% |
Other | 1 | 3% |
Unknown | 8 | 24% |