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度伐利尤单抗治疗转移性小细胞肺癌期间诱发的脑炎:病例报告及文献综述

Encephalitis Induced by Durvalumab During Treatment of Metastatic Small-Cell Lung Cancer: Illustrative Case and Review of the Literature.

作者信息

Shechtman Yelena, Shalata Walid, Khoury Rasha, Mahajna Ayed, Weller Boaz, Agbarya Abed

机构信息

Departments of Oncology.

The Legacy Heritage Oncology Center and Dr Larry Norton Institute, Soroka Medical Center and Ben-Gurion University, Beer-Sheva, Israel.

出版信息

J Immunother. 2021 Sep 1;44(7):243-247. doi: 10.1097/CJI.0000000000000362.

DOI:10.1097/CJI.0000000000000362
PMID:33734140
Abstract

The immune checkpoint inhibitors have improved the standards of care in cancer treatment and have dramatically improved patient prognoses. These new antibodies turned to be an integral part of the standard of care for metastatic small-cell lung cancer. Platinum-based chemotherapy combined with checkpoint inhibitors, resulted in statistically significant improvement of progression free survival and overall survival. Immune checkpoint inhibitors immune-related adverse events have been observed and reported as a consequence of administering these innovative treatment drugs. Neurological immune-related adverse events are rare complications; however, they can be potentially fatal, particularly encephalitis. This report describes a 66-year-old female who received Durvalumab for metastatic small-cell lung cancer. Following 3 cycles of treatment, she developed encephalitis.

摘要

免疫检查点抑制剂提高了癌症治疗的护理标准,并显著改善了患者的预后。这些新型抗体已成为转移性小细胞肺癌护理标准的一个组成部分。铂类化疗联合检查点抑制剂,在无进展生存期和总生存期方面有统计学意义的显著改善。作为使用这些创新治疗药物的结果,免疫检查点抑制剂相关的免疫不良事件已被观察和报道。神经系统免疫相关不良事件是罕见的并发症;然而,它们可能是致命的,尤其是脑炎。本报告描述了一名66岁女性,她因转移性小细胞肺癌接受度伐利尤单抗治疗。在3个周期的治疗后,她患上了脑炎。

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Encephalitis Induced by Durvalumab During Treatment of Metastatic Small-Cell Lung Cancer: Illustrative Case and Review of the Literature.度伐利尤单抗治疗转移性小细胞肺癌期间诱发的脑炎:病例报告及文献综述
J Immunother. 2021 Sep 1;44(7):243-247. doi: 10.1097/CJI.0000000000000362.
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引用本文的文献

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Antibody-positive paraneoplastic neurological syndromes associated with immune checkpoint inhibitors: a systematic review.与免疫检查点抑制剂相关的抗体阳性副肿瘤性神经系统综合征:一项系统综述
J Neurol. 2025 Mar 5;272(3):249. doi: 10.1007/s00415-025-12992-7.
2
Case report: Immune checkpoint inhibitor-induced paraneoplastic neurological syndrome in two patients: a case series.病例报告:两例免疫检查点抑制剂诱发的副肿瘤性神经综合征:病例系列
Front Oncol. 2024 Oct 28;14:1404829. doi: 10.3389/fonc.2024.1404829. eCollection 2024.
3
Case Report: Limbic encephalitis following treatment with durvalumab for small-cell lung cancer.
病例报告:小细胞肺癌使用度伐利尤单抗治疗后出现边缘性脑炎。
Front Immunol. 2023 Oct 16;14:1278761. doi: 10.3389/fimmu.2023.1278761. eCollection 2023.
4
Immune Checkpoint Inhibitor Associated Autoimmune Encephalitis, Rare and Novel Topic of Neuroimmunology: A Case Report and Review of the Literature.免疫检查点抑制剂相关自身免疫性脑炎:神经免疫学的罕见新课题——病例报告及文献综述
Brain Sci. 2022 Jun 13;12(6):773. doi: 10.3390/brainsci12060773.
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Anti-γ-Aminobutyric Acid Type β Receptor Antibody-Associated Encephalitis After 2 Cycles of Durvalumab Therapy in a Patient with Small Cell Lung Cancer: A Case Report.小细胞肺癌患者接受2个周期度伐利尤单抗治疗后发生抗γ-氨基丁酸β型受体抗体相关脑炎:一例报告
Onco Targets Ther. 2021 Nov 3;14:5227-5236. doi: 10.2147/OTT.S337331. eCollection 2021.