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帕博利珠单抗-阿昔替尼诱发的转移性肾癌患者肿瘤溶解综合征

Pembrolizumab-axitinib-induced tumor lysis syndrome in a patient with metastatic renal cancer.

作者信息

Shah Manan, Jain Sanjay, Abe Temidayo, Surapaneni Phani Keerthi, Bhatia Kapil

机构信息

Internal Medicine Morehouse School of Medicine Grady Memorial Hospital Atlanta Georgia.

Hematology-Oncology Morehouse School of Medicine Grady Memorial Hospital Atlanta Georgia.

出版信息

Clin Case Rep. 2020 Feb 15;8(4):704-708. doi: 10.1002/ccr3.2737. eCollection 2020 Apr.

DOI:10.1002/ccr3.2737
PMID:32274041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7141709/
Abstract

Tumor lysis syndrome is uncommon in solid tumors but with the use of immunotherapy (checkpoint inhibitors) their incidence is increasing. Physicians need to take adequate precautions while treating patients with immunotherapy. The findings of our case report will help improve our current understanding of tumor lysis syndrome specially in solid tumors and will help in developing multidisciplinary treatment and prophylaxis strategies for this uncommon, but potentially fatal complication.

摘要

肿瘤溶解综合征在实体瘤中并不常见,但随着免疫疗法(检查点抑制剂)的使用,其发生率正在上升。医生在治疗接受免疫疗法的患者时需要采取充分的预防措施。我们病例报告的结果将有助于提高我们目前对肿瘤溶解综合征的认识,特别是在实体瘤方面,并将有助于制定针对这种罕见但可能致命的并发症的多学科治疗和预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/7141709/7f7a5b2340e4/CCR3-8-704-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/7141709/7f7a5b2340e4/CCR3-8-704-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9c22/7141709/7f7a5b2340e4/CCR3-8-704-g001.jpg

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本文引用的文献

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Pembrolizumab plus Axitinib versus Sunitinib for Advanced Renal-Cell Carcinoma.派姆单抗联合阿昔替尼对比舒尼替尼用于晚期肾细胞癌。
N Engl J Med. 2019 Mar 21;380(12):1116-1127. doi: 10.1056/NEJMoa1816714. Epub 2019 Feb 16.
2
Antibody-Dependent Cellular Cytotoxicity Activity of a Novel Anti-PD-L1 Antibody Avelumab (MSB0010718C) on Human Tumor Cells.新型抗 PD-L1 抗体avelumab(MSB0010718C)在人肿瘤细胞上的抗体依赖细胞细胞毒性活性。
Cancer Immunol Res. 2015 Oct;3(10):1148-1157. doi: 10.1158/2326-6066.CIR-15-0059. Epub 2015 May 26.
3
Predictive correlates of response to the anti-PD-L1 antibody MPDL3280A in cancer patients.
癌症患者对抗PD-L1抗体MPDL3280A反应的预测性相关因素。
Nature. 2014 Nov 27;515(7528):563-7. doi: 10.1038/nature14011.
4
Tumor Lysis Syndrome in Solid Tumors: An up to Date Review of the Literature.实体瘤中的肿瘤溶解综合征:文献综述
Rare Tumors. 2014 Jun 13;6(2):5389. doi: 10.4081/rt.2014.5389. eCollection 2014 May 13.
5
The engagement of CTLA-4 on primary melanoma cell lines induces antibody-dependent cellular cytotoxicity and TNF-α production.CTLA-4 在原发性黑素瘤细胞系上的结合诱导抗体依赖性细胞细胞毒性和 TNF-α 的产生。
J Transl Med. 2013 May 1;11:108. doi: 10.1186/1479-5876-11-108.
6
Onco-nephrology: tumor lysis syndrome.肿瘤肾病学:肿瘤溶解综合征。
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7
A patient with advanced hepatocellular carcinoma treated with sorafenib tosylate showed massive tumor lysis with avoidance of tumor lysis syndrome.一名接受甲苯磺酸索拉非尼治疗的晚期肝细胞癌患者出现大量肿瘤溶解,且未发生肿瘤溶解综合征。
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