Novocure opinion is that the contribution of the array placement to wound dehiscence cannot be ruled out.Contributing factors for wound dehiscence in this patient include: prior dexamethasone use (impaired wound healing and increased risk of infection are listed as side effects.Source: dexamethasone prescribing information), prior radiation, underlying cancer disease, and prior surgery affecting skin integrity.Wound dehiscence was reported as an adverse event in the ef-14 trial of (b)(4) together with temozolomide (tmz) compared to tmz alone in patients with newly diagnosed gbm in the optune/tmz arm of the trial (<1%) only.
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A 61-year-old female patient with newly diagnosed glioblastoma (gbm) started optune therapy on (b)(6) 2022.Patient underwent resection surgery of gbm recurrence scheduled on (b)(6) 2022.(b)(4) therapy was temporarily discontinued.(b)(4) therapy was resumed on (b)(6) 2022, arrays were placed to avoid the surgical scar as much as possible.On (b)(6) 2022, the patient informed novocure that she was scheduled for surgery on (b)(6) 2022, to close a non-healing wound.Optune therapy was temporarily discontinued starting (b)(6) 2022.Prescribing physician was contacted for further details, without response.
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