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Published in: BMC Neurology 1/2022

Open Access 01-12-2022 | Meningioma | Case report

A rare case report of recurrent atypical meningioma with multiple metastases treated with anti-PD-1 and anti-VEGF therapy

Authors: Jia-Li Zhao, Jing Liu, Ming Fang, Chen Luo, Zhen-Bang Gu, Long Huang

Published in: BMC Neurology | Issue 1/2022

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Abstract

Background

Meningioma is the most common type of primary intracranial tumor with 0.1–1% of all primary meningiomas have been reported to develop into metastases. However, there is no proven therapeutic strategy for multiple metastases of meningiomas.

Case presentation

A 60-year-old female accepted total tumor resection of a right frontal lobe meningioma in September 2018, In October 2021, the patient was admitted to hospital because of cough and shortness of breath and diagnosed with metastatic meningiomas. The computed tomography (CT) scan revealed the presence of large masses in the right thoracic and abdominal cavity. After two cycles of anti-PD-1 and anti-VEGF treatment, the symptoms were relieved and the tumor was necrotic. Follow up to June 21, 2022, the patient has been given eleven cycles of the treatment every 3 weeks without tumor progression.

Conclusions

This case showed combined anti-PD-1 and anti-VEGF treatment stimulates peripheral blood immune cells to kill metastatic meningioma cells. Whether combined immunotherapy is more effective for metastatic meningioma needs further exploration.
Literature
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go back to reference Grimm SA, Kumthekar P, Chamberlain MC, et al. Phase II trial of bevacizumab in patients with surgery and radiation refractory progressive meningioma. J Clin Oncol. 2015;33:2055–2055.CrossRef Grimm SA, Kumthekar P, Chamberlain MC, et al. Phase II trial of bevacizumab in patients with surgery and radiation refractory progressive meningioma. J Clin Oncol. 2015;33:2055–2055.CrossRef
Metadata
Title
A rare case report of recurrent atypical meningioma with multiple metastases treated with anti-PD-1 and anti-VEGF therapy
Authors
Jia-Li Zhao
Jing Liu
Ming Fang
Chen Luo
Zhen-Bang Gu
Long Huang
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2022
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/s12883-022-02919-4

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