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胸腺瘤局部照射治疗的远隔效应:一例报告

Abscopal effect of local irradiation treatment for thymoma: a case report.

作者信息

Guan Song, Wang Hui, Qi Xiu-Heng, Guo Qian, Zhang Hong-Yan, Liu Huan, Zhu Bao-Jie

机构信息

Department of Radiotherapy, Hebei Petrochina Central Hospital Langfang 065000, China.

Department of Respiratory and Critical Care Medicine, Hebei Petrochina Central Hospital Langfang 065000, China.

出版信息

Am J Transl Res. 2020 May 15;12(5):2234-2240. eCollection 2020.

Abstract

INTRODUCTION

With the rapid development of immunotherapy in recent years, growing clinical evidence suggests that a combination of radiotherapy and immunotherapy could improve the abscopal response rates and increase survival. However, observations on abscopal effects in patients receiving radiotherapy alone are still very rare. This study reports a rare case of a patient with type B3 thymoma with multiple lung metastases, who received localized irradiation.

CASE PRESENTATION

A 76-year-old Chinese woman was admitted to our hospital in November 2017, and her physical examination revealed a thymus mass with multiple lung metastases. Although the left lower lobe lesion was slightly larger than before, the patient presented with regression of the non-irradiated metastases after treatment with radiotherapy alone.

CONCLUSION

This patient experienced an apparent regression of metastatic mass, suggesting a radiation-induced abscopal effect.

摘要

引言

近年来,随着免疫疗法的迅速发展,越来越多的临床证据表明,放疗与免疫疗法联合使用可提高远隔效应率并延长生存期。然而,关于单纯接受放疗患者的远隔效应观察仍然非常罕见。本研究报告了一例罕见的B3型胸腺瘤伴多发肺转移患者接受局部照射的病例。

病例介绍

一名76岁中国女性于2017年11月入院,体格检查发现胸腺肿物伴多发肺转移。尽管左下叶病变较之前略增大,但该患者在单纯放疗治疗后,未受照射的转移灶出现消退。

结论

该患者转移瘤明显消退,提示存在辐射诱导的远隔效应。

相似文献

本文引用的文献

1
Radiation-induced tumor immunity in patients with non-small cell lung cancer.非小细胞肺癌患者的放射诱导肿瘤免疫。
Thorac Cancer. 2019 Jul;10(7):1605-1611. doi: 10.1111/1759-7714.13122. Epub 2019 Jun 22.
5
Using immunotherapy to boost the abscopal effect.利用免疫疗法增强远隔效应。
Nat Rev Cancer. 2018 May;18(5):313-322. doi: 10.1038/nrc.2018.6. Epub 2018 Feb 16.

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