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纳武单抗治疗后颅内脑膜瘤消退:病例报告及文献综述

Regression of intracranial meningioma following treatment with nivolumab: Case report and review of the literature.

作者信息

Gelerstein Efrat, Berger Assaf, Jonas-Kimchi Tali, Strauss Ido, Kanner Andrew A, Blumenthal Deborah T, Gottfried Maya, Margalit Nevo, Ram Zvi, Shahar Tal

机构信息

Department of Neurosurgery, Tel-Aviv Medical Center, Tel-Aviv, Israel.

Imaging Division, Neuroradiology Unit, Tel-Aviv Medical Center, Tel-Aviv, Israel.

出版信息

J Clin Neurosci. 2017 Mar;37:51-53. doi: 10.1016/j.jocn.2016.11.011. Epub 2017 Jan 12.

Abstract

The treatment of refractory meningiomas remains a challenge for both neurosurgeons and neuro-oncologists. There have been no clinical reports of the use or effects of anti-PD-1 therapy in patients with meningioma. We describe a patient whose intracranial meningioma decreased significantly in size after treatment with nivolumab, a monoclonal antibody targeting PD-1, for a concomitant advanced lung cancer. This is the first clinical report suggesting that antibodies targeting PD-1 are effective in treating meningioma. It should encourage further research into the use of checkpoint inhibitors in meningioma.

摘要

难治性脑膜瘤的治疗对神经外科医生和神经肿瘤学家来说仍然是一个挑战。目前尚无关于抗PD-1疗法在脑膜瘤患者中的应用或效果的临床报告。我们描述了一名患者,其颅内脑膜瘤在接受纳武单抗(一种靶向PD-1的单克隆抗体)治疗伴发的晚期肺癌后,大小显著减小。这是第一份表明靶向PD-1的抗体对治疗脑膜瘤有效的临床报告。它应鼓励对在脑膜瘤中使用检查点抑制剂进行进一步研究。

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