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Long-term survival of a patient with metastatiс choroid plexus carcinoma, de novo germline TP53 mutated, after craniospinal proton irradiation
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  • Andge Valiakhmetova,
  • Liudmila Yasko,
  • Margarita Zaytseva,
  • Ludmila Papusha,
  • Alexander Druy,
  • Ludmila Shishkina,
  • Galina Novichkova,
  • Sergey Gorelyshev,
  • Alexander Karachunskiy
Andge Valiakhmetova
Burdenko National Medical Research Center of Neurosurgery

Corresponding Author:[email protected]

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Liudmila Yasko
Dmitry Rogachev National Medical Research Center Of Pediatric Hematology, Oncology and Immunology
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Margarita Zaytseva
Dmitry Rogachev National Medical Research Center of Pediatric Hematology Oncology and Immunology
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Ludmila Papusha
D. Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russian Federation
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Alexander Druy
Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology
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Ludmila Shishkina
Burdenko National Medical Research Center of Neurosurgery, Pediatric Neurosurgery Department Moscow, RU
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Galina Novichkova
Dmitry RogachevFederal Clinical Research Center for Pediatric Hematology, Oncology and Immunology
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Sergey Gorelyshev
Burdenko National Medical Research Center of Neurosurgery
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Alexander Karachunskiy
Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology
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Abstract

Here we report a boy with disseminated choroid plexus carcinoma diagnosed at an age of 2 years 9 months on the background of de novo germline mutation in ТР53. The patient received 3 cycles of high-dose methotrexate-based chemotherapy and 4 cycles of alternating carboplatin/cyclophosphamide chemotherapy, followed by craniospinal proton beam irradiation. To date, the patient lives with neither progression of the disease nor other extracranial neoplasms for 6 years from the diagnosis. This is the first successful experience of proton irradiation therapy affording long-term survival in a child with Li-Fraumeni syndrome-associated choroid plexus carcinoma.