Erschienen in:
01.05.2010 | Clinical Study - Patient Study
Primary CNS lymphoma in the elderly: temozolomide therapy and MGMT status
verfasst von:
Delia Kurzwelly, Martin Glas, Patrick Roth, Elke Weimann, Hanns Lohner, Andreas Waha, Martin Schabet, Guido Reifenberger, Michael Weller, Ulrich Herrlinger
Erschienen in:
Journal of Neuro-Oncology
|
Ausgabe 3/2010
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Abstract
This retrospective series explores temozolomide monotherapy in elderly patients with primary CNS lymphoma (PCNSL) and severe comorbidities. In 17 patients (62–90 years old), the complete response rate was 47%, median progression-free survival was 5 months, and median overall survival was 21 months. Five of 17 patients (29.4%) had prolonged responses for at least 12 months and survived for more than 24 months. Three of these patients had a methylated O6-methylguanine-DNA methyltransferase (MGMT) promoter, while the MGMT status was not assessable in the remaining two patients. Temozolomide monotherapy appears to be effective in a subgroup of elderly PCNSL patients and deserves further evaluation.