Confirmation of diagnosis

Treatment

Confirmation of recurrence

Confirmation of response to PBT

Molecular profiling

Pathology

Radiology

Patient

Place and date

Diagnosis

Place and date

Diagnosis

Place and date

Assessment

Place and date

Assessment

1

University hospital April 28, 2010

GBM

Regional radiology MRI April 26, 2010

Two enhancing masses in left parietal and temporal lobes

Subtotal tumor resection April 27, 2010

RT + TMZ May 20, 2010 to July 1, 2010

TMZ ×2 August 21, 2010 to September 21, 2010

Regional radiology MRI September 21, 2010

Recurrence

BC. October 6, 2010 PB, vorinostat, erlotinib, pazopanib, everolimus, BVZ. Discontinued vorinostat on December 15, 2010 and had last BVZ infusion on December 12, 2010. Discontinued erlotinib, everolimus, and pazopanib January 18, 2011. Recurrence of rectal abscess. Discontinued PB on March 1, 2011.Died March 1, 2011 due to septicemia.

Regional radiology MRI November 30, 2010

PR

Elevated VEGF (Blood)

c-Kit-wild type genotype (tissue-Caris)

2

Regional hospital December 2010

GBM

Regional radiology CT November 25, 2010

A large 5.5 × 4 cm lesion of the left temporal parietal lobe

Tumor resection December 2, 2010

RT and TMZ

Craniotomy for epidural abscess

Regional radiology MRI November 10, 2011 (Baseline)

Persistent tumor

TMZ ×4

BC. November 30, 2011 PB, pazopanib, dasatinib, sirolimus, erlotinib, BVZ

Regional radiology MRI May 17, 2012

SD

Blood and tissue profiling not done

3

Regional hospital September 1, 2011

GBM

Regional hospital MRI August 25, 2011

Left parietal lobe enhancing tumor

Tumor resection August 31, 2011

RT 60 Gy and TMZ October 10, 2011- November 18, 2011

TMZ

Regional radiology MRI March 14, 2012

Recurrence

BVZ March 2012 to

December 28, 2012

Regional hospital MRI December 12, 2012.

Regional radiology MRI January 9, 2013.

Recurrence

Recurrence

BC. January 15, 2013 PB, pazopanib, everolimus, dasatinib, BVZ.

Discontinued everolimus February 13, 2013 (lack of insurance).

Added erlotinib April 16, 2013. Discontinued erlotinib May 21, 2013.

Discontinued PB March 3, 2014. Died June 23, 2014 due to disease progression.

Regional radiology MRI March 20, 2013

PD

Normal (blood) FGFR3-amplification,

PTEN-mutation U1331, CDK4-amplification,

TP53-loss, mutation D281H (tissue)