Temozolomide treatment for aggressive pituitary tumors: correlation of clinical outcome with O(6)-methylguanine methyltransferase (MGMT) promoter methylation and expression.

作者: Zachary M. Bush , Janina A. Longtine , Tracy Cunningham , David Schiff , John A. Jane

DOI: 10.1210/JC.2010-0441

关键词: MedicineContext (language use)EndocrinologyPituitary neoplasmPituitary tumorsO-6-methylguanine-DNA methyltransferasePituitary carcinomaDNA methylationTemozolomideInternal medicineMalignant transformation

摘要: Context: The typically indolent behavior of pituitary tumors is juxtaposed with high rates tumor cell invasion into adjacent dural structures, and occasional aggressive behavior. Although clinically significant malignant transformation remain uncommon, there are limited treatment options available for the management these tumors. Recently, case reports have described efficacy temozolomide Design: Seven patients been treated temozolomide. We compared O6-methylguanine methyltransferase (MGMT) promoter methylation MGMT expression in 14 surgical specimens from seven correlated molecular features clinical response to Results: Significant regression was seen two (29%), a 20% reduction volume subsequent stable size noted one patient, arrest growth occurred three patients, progr...

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