# Case Report: Effective management of residual glioblastoma with combined modality therapy

**Authors:** Heng-Jui Chang, Chiao-Hsu Ke, Yu-Shan Wang, Yu-Cheng Kuo

PMC · DOI: 10.3389/fonc.2025.1451408 · Frontiers in Oncology · 2025-03-28

## TL;DR

A 60-year-old woman with residual glioblastoma showed improved outcomes using a combination of standard and modulated electro-hyperthermia treatments.

## Contribution

This case report demonstrates the potential of modulated electro-hyperthermia to enhance standard GBM therapies.

## Key findings

- The patient experienced significant tumor shrinkage and improved neurological symptoms.
- mEHT improved drug delivery and enhanced the effects of chemoradiotherapy and temozolomide.
- The patient's survival period was extended compared to typical outcomes for GBM.

## Abstract

Glioblastoma (GBM) is an aggressive primary brain tumor with a poor prognosis, often characterized by rapid progression and resistance to conventional therapies. This case report discusses the comprehensive management of a 60-year-old female diagnosed with residual GBM following initial surgical intervention. The treatment regimen included craniectomy, concurrent chemoradiotherapy (CCRT), adjuvant temozolomide, and weekly sessions of modulated electro-hyperthermia (mEHT, Oncothermia). Remarkably, the patient exhibited significant tumor shrinkage, improved neurological symptoms, and an extended survival period compared to typical outcomes. mEHT was utilized to enhance the efficacy of chemoradiotherapy and temozolomide by selectively targeting cancer cells and improving drug delivery. Integrating mEHT into the standard treatment protocol appears to have contributed to better therapeutic outcomes and improved quality of life for the patient. This case underscores the potential benefits of incorporating mEHT into multimodal treatment strategies for GBM, highlighting its role in enhancing the effects of conventional therapies. Future research and clinical trials are warranted to further explore the synergistic effects of mEHT with standard GBM treatments, aiming to establish more effective protocols and improve overall patient survival and quality of life. This report adds to the growing body of evidence supporting the use of innovative, integrative approaches in the management of aggressive brain tumors like GBM.

## Linked entities

- **Chemicals:** temozolomide (PubChem CID 5394)
- **Diseases:** glioblastoma (MONDO:0018177), GBM (MONDO:0018177)

## Full-text entities

- **Diseases:** cancer (MESH:D009369), brain tumor (MESH:D001932), hyperthermia (MESH:D005334), GBM (MESH:D005909)
- **Chemicals:** mEHT (-), temozolomide (MESH:D000077204)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

4 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11985788/full.md

## References

15 references — full list in the complete paper: https://tomesphere.com/paper/PMC11985788/full.md

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Source: https://tomesphere.com/paper/PMC11985788