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帕博利珠单抗诱发肺癌患者类结节病样反应。

Pembrolizumab-Induced Sarcoid-Like Reaction in a Patient With Lung Cancer.

作者信息

Yousuf Hira, Mekki Rasheid, Khan Khizer, Hussain Ali

机构信息

Oncology, Pinderfields General Hospital, Wakefield, GBR.

Medical Oncology, Pinderfields General Hospital, Wakefield, GBR.

出版信息

Cureus. 2020 Dec 31;12(12):e12395. doi: 10.7759/cureus.12395.

Abstract

Cancer is not only the leading cause of mortality and morbidity but also poses a major economic burden. Until recently, onco-immunotherapy has dramatically changed the landscape of cancer treatment. For example, an inhibitor of programmed cell death (PD-1) plays a vital role by potentiating effective immune-mediated destruction of tumor cells. However, the spectrum of immune-related adverse events especially granulomatous sarcoid lesions has been recognized too. Such lesions involve the dermis and subcutaneous tissue (panniculitis) and lymph nodes. Herein we are presenting a case report of a patient, who developed a sarcoid-like reaction after treatment with pembrolizumab.

摘要

癌症不仅是导致死亡和发病的主要原因,还带来了重大的经济负担。直到最近,肿瘤免疫疗法极大地改变了癌症治疗的格局。例如,程序性细胞死亡蛋白1(PD-1)抑制剂通过增强有效的免疫介导的肿瘤细胞破坏发挥着至关重要的作用。然而,免疫相关不良事件的范围,尤其是肉芽肿性结节病样病变也已得到认识。此类病变累及真皮和皮下组织(脂膜炎)以及淋巴结。在此,我们报告一例患者在用派姆单抗治疗后出现结节病样反应的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5e3/7779128/c682025a73db/cureus-0012-00000012395-i01.jpg

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