Department of Multimodality Therapy Oncology, Tangshan People's Hospital, Tangshan, China.
Department of Pulmonary Neoplasm Internal Medicine, Nanyuan District of 302 Hospital of PLA, Beijing, China.
Thorac Cancer. 2021 Jun;12(11):1780-1783. doi: 10.1111/1759-7714.13967. Epub 2021 May 5.
Immune checkpoint inhibitors (ICIs) have achieved prominent efficacy in the treatment of numerous cancers, which is the most significant breakthrough in cancer therapy in recent years. However, ICIs are associated with a series of immune-related adverse events (irAEs). Pneumonitis is an uncommon but potentially fatal irAE. In the case reported here, a patient with advanced small cell lung cancer (SCLC) had rapid progression of disease following chemotherapy and received ICIs. The patient experienced severe immune-related hyperthermia followed by immune-related pneumonitis. Fortunately, a good clinical response was achieved after the patient received corticosteroids and tocilizumab.
免疫检查点抑制剂 (ICIs) 在治疗多种癌症方面取得了显著疗效,这是近年来癌症治疗的最重大突破。然而,ICIs 与一系列免疫相关的不良反应 (irAEs) 相关。肺炎是一种不常见但可能致命的 irAE。在本例报告中,一名患有晚期小细胞肺癌 (SCLC) 的患者在化疗后疾病迅速进展,并接受了 ICI 治疗。患者出现严重的免疫相关性发热,随后发生免疫相关性肺炎。幸运的是,患者接受皮质类固醇和托珠单抗治疗后获得了良好的临床反应。