Department of Medical Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.
Department of Preventive Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.
J Oncol Pharm Pract. 2021 Jul;27(5):1281-1283. doi: 10.1177/1078155220965677. Epub 2020 Oct 18.
Although, immune check-point inhibitors changed the course of many cancers, the outcomes in sarcomas were rather disappointing with less than 10% response rates. Ewing sarcoma is a poorly differentiated and aggressive tumor mostly seen in the children and adolescents. It's a distinct type of sarcoma with prominent chemosensitivity in the early stages. However, the relapsing disease has a poor prognosis with limited treatment options.
Herein, we represent a case of relapsed Ewing sarcoma treated with multiple lines of chemotherapy. The patient had a very good response to salvage treatment with a combination of paclitaxel and nivolumab which lasted for twelve months after the cessation of treatment.
We think that chemotherapy plus immunotherapy can be an option for Ewing sarcoma patients treated with multiple lines of chemotherapy.
尽管免疫检查点抑制剂改变了许多癌症的治疗进程,但肉瘤的疗效却令人失望,反应率不足 10%。尤文肉瘤是一种分化不良且侵袭性很强的肿瘤,主要发生在儿童和青少年中。它是一种独特类型的肉瘤,在早期阶段具有明显的化疗敏感性。然而,复发性疾病预后较差,治疗选择有限。
在此,我们报告了一例接受多线化疗治疗的复发性尤文肉瘤病例。该患者在接受紫杉醇和纳武利尤单抗联合挽救治疗后反应非常好,治疗停止后 12 个月仍持续缓解。
我们认为,对于接受多线化疗的尤文肉瘤患者,化疗联合免疫治疗可能是一种选择。