Nuevas perspectivas moleculares para el tratamiento de los meningiomas anaplásicos recurrentes : a propósito de un caso.
Novel molecular perspectives for the treatment of recurrent anaplastic meningiomas : a case report.
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Se reporta el caso de una mujer de 53 años con un cuadro clínico de corta evolución consistente en cambios comportamentales que se asoció con alteración del afecto y de la atención, por lo que se diagnosticó un meningioma de alto grado frontal izquierdo, que requirió manejo quirúrgico en tres oportunidades, radioterapia y dos líneas de tratamiento médico (hidroxiurea e imatinib) sin respuesta; ante la evidente progresión de la enfermedad, se decidió administrar octreotide más everolimus, intervención dirigida contra la expresión anormal de receptores de somatostatina tipo 2 y la disfunción molecular de la vía de señalización PIP3K/mTOR/AKT. Con dicha intervención, se alcanzó respuesta parcial.
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