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联合免疫治疗后晚期肾细胞癌假性进展:病例报告及文献综述

Advanced Renal-Cell Carcinoma Pseudoprogression After Combined Immunotherapy: Case Report and Literature Review.

作者信息

Zhang Xiaojie, Huang Hao, Han Lu, Li Tiepeng, Wang Zibing, Gao Quanli

机构信息

Department of Immunotherapy, Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.

出版信息

Front Oncol. 2021 May 28;11:640447. doi: 10.3389/fonc.2021.640447. eCollection 2021.

DOI:10.3389/fonc.2021.640447
PMID:34123792
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8194346/
Abstract

Treatment with a combination of programmed cell death-1 (PD-1) blocker and cytokine-induced killer (CIK) cells has improved outcome in cancer patients but is also associated with various patterns of responses. Pseudoprogression is a unique and uncommon phenomenon with no clear criteria for rapid diagnosis. Although some reports of pseudoprogression during immunotherapy exist, there are few reports of pseudoprogression occurring twice in the same patient. Here, we report the case of 51-year-old female patient with advanced renal cell carcinoma, who received a combination treatment of PD-1 blocker and CIK cells, and where pseudoprogression of lung and brain tumors occurred successively during treatment.

摘要

程序性细胞死亡蛋白1(PD-1)阻断剂与细胞因子诱导的杀伤细胞(CIK)联合治疗已改善了癌症患者的预后,但也与多种反应模式相关。假性进展是一种独特且罕见的现象,目前尚无快速诊断的明确标准。尽管已有一些关于免疫治疗期间假性进展的报道,但同一患者出现两次假性进展的报道却很少。在此,我们报告一例51岁晚期肾细胞癌女性患者,该患者接受了PD-1阻断剂与CIK细胞的联合治疗,治疗期间肺和脑肿瘤相继出现假性进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/4aae01b50119/fonc-11-640447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/a617d6843921/fonc-11-640447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/09a39438736f/fonc-11-640447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/4aae01b50119/fonc-11-640447-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/a617d6843921/fonc-11-640447-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/09a39438736f/fonc-11-640447-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1cb/8194346/4aae01b50119/fonc-11-640447-g003.jpg

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Pembrolizumab plus Axitinib versus Sunitinib for Advanced Renal-Cell Carcinoma.
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Molecular Targets of Shenqi Dihuang, A Traditional Chinese Herbal Medicine, and Its Potential Role in Renal Cell Carcinoma Therapy.参芪地黄中药的分子靶点及其在肾细胞癌治疗中的潜在作用。
Genet Res (Camb). 2023 Jan 25;2023:2355891. doi: 10.1155/2023/2355891. eCollection 2023.
派姆单抗联合阿昔替尼对比舒尼替尼用于晚期肾细胞癌。
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