Table 1.
Clinical characteristics of the 10 patients with metastatic glioblastoma or gliosarcoma
| Patient number | Age | Gender | Primary tumor histological diagnosis | Metastatic tumor histological diagnosis | Site of glioblastoma | Radiographic feature | Surgery, # craniotomies | Radiation | Chemotherapy | CSF shunt | Metastatic sites | Symptoms of metastatic site | MGMT methylation | IDH-1/2 mutation | Time to Met (mo) | Met to death (mo) | OS (mo) | Surgical complications | Sequenced Site |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 73 | M | GBM | Gliosarcoma | Frontal | Cystic, solid, +CE, +hem | +, 2 | + | TMZ, PDL-1i, Bev, Carmustine | − | Dura | None | − | − | 5.2 | 6.0 | 11.2 | Brain (primary); dura (met) | |
| 2 | 39 | M | GBM | Gliosarcoma | Frontal | Cystic, solid, +CE, +hem | +, 1 | + | TMZ, Bev | − | Spine, lung, liver, iliac bone | Low back pain | + | − | 11.1 | 1.0 | 12.1 | Brain (primary) | |
| 3 | 41 | M | GBM | GBM | Temporal | Cystic, solid, +CE, +hem | +, 2 | + | None | − | Cervical lymph nodes | Neck pain | Unknown | − | 10.4 | 2.0 | 12.4 | Pseudo- meningocele | Brain (primary); LN (met) |
| 4 | 35 | M | GBM/ gliosarcoma | GBM/ gliosarcoma | Temporal | Unavailable | +, 2 | + | Gliadel, TMZ | − | Sacrum | Back pain | Unknown | Unknown | 12.1 | 5.6 | 17.7 | Brain (primary) | |
| 5 | 44 | F | GBM | GBM | Parietal | Unavailable | +, 2 | + | TMZ | − | T7-8 dura, spinal cord, leptomeninges | Progressive paraparesis and ascending thoracic sensory loss | Unknown | Unknown | 21.5 | 3.1 | 24.6 | Not sequenced | |
| 6 | 28 | M | GBM | GBM | Frontoparietal | Cystic, solid, +CE | +, 3 | + | Nivo, TMZ, Bev, Lomustine, Carbo, Etoposide | − | Vertebrae and femurs | Back pain | − | R132H | 32.5 | 5.0 | 37.5 | Brain (primary); brain (recurrence); brain (recurrence); sacrum (met) | |
| 7 | 23 | F | GBM | Poorly differentiated high-grade glioma | Occipital | Cystic, solid, +CE | +, 1 | + | TMZ | − | Sacrum, L5 vertebra, hip | Low back pain | − | Unknown | 41.4 | 16.1 | 57.5 | Vertebrae (met); vertebrae (met) | |
| 8 | 14 | M | GBM | Poorly differentiated high-grade glioma | Frontotemporal | Cystic, solid, +CE, +hem | +, 3 | + | TMZ, MEKi, Bev | + | Lung, skin, thoracic lymph nodes | Pain, shortness of breath | Unknown | Unknown | 18.3 | 2.4 | 20.7 | Brain (recurrence) | |
| 9 | 36 | M | GBM | GBM | Frontal | Unavailable | +, 2 | + | TMZ | − | Humerus | Shoulder pain | Unknown | Unknown | 19.2 | 25+# | 44+# | Not sequenced | |
| 10 | 52 | F | GBM | GBM with primitive neuroectodermal tumor-like component | Temporal | Cystic, solid, +CE | +, 2 | + | TMZ, Bev | − | Subdural region | Headache | − | Unknown | 13.0 | 6.6 | 19.6 | Brain (primary); dura (met) |
IDH, isocitrate dehydrogenase; Met, metastasis; OS, overall survival; CE, contrast enhancement; hem, hemorrhage; TMZ, temozolomide, PDL-L1, programmed cell death ligand 1 inhibitor; Bev, bevacizumab; Nivo, nivolumab; Carbo, carboplatin; MEKi, mitogen-activated protein kinase inhibitor.