Department of Respiratory Medicine, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Department of Gastroenterology and Hematology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan.
Thorac Cancer. 2021 Oct;12(20):2811-2814. doi: 10.1111/1759-7714.14106. Epub 2021 Aug 17.
We describe a case of a 60-year-old man with a prolonged thrombocytopenia during a durvalumab maintenance therapy after chemoradiotherapy for locally advanced non-small cell lung carcinoma. Bone marrow specimen was normoplastic with the marked megakaryocyte depletion, which was assumed to be an acquired amegakaryocytic thrombocytopenic purpura. Although hematological disorders as immune-related adverse events (irAE) are rare, we should pay more attention to hematological disorders with durvalumab especially after concurrent chemoradiotherapy.
我们描述了一例 60 岁男性患者,在接受局部晚期非小细胞肺癌放化疗后接受 durvalumab 维持治疗期间出现血小板减少症持续时间延长。骨髓标本呈正常形态,巨核细胞明显减少,考虑为获得性无巨核细胞性血小板减少性紫癜。尽管血液系统疾病作为免疫相关不良事件(irAE)较为罕见,但我们应更加关注 durvalumab 治疗后尤其是在同步放化疗后出现的血液系统疾病。