Plasmablastic lymphoma after standard-dose temozolomide for newly diagnosed glioblastoma.

Clark, Stephen W; Taylor, Jennie; Wang, Daphne L; Abramson, Jeremy S; Batchelor, Tracy T · Neurology · 2013

case_report · Level V

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Abstract

Secondary malignancies due to alkylating agents or topoisomerase II inhibitors are a concern in patients treated for primary brain tumors of the nervous system. Myelosuppression is the dose-limiting toxic effect of the alkylating agent temozolomide; reversible hematologic toxicity consisting mainly of thrombocytopenia is reported to occur in 7% of patients treated with concomitant radiotherapy and temozolomide and 14% with adjuvant temozolomide.<sup>1</sup> However, the incidence of secondary malignancies and nonreversible hematologic disorders, such as myelodysplastic syndrome, are a rare complication of temozolomide.<sup>2</sup>

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