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免疫疗法联合化疗治疗术后复发性阴茎鳞状细胞癌:一例报告及文献综述

Immunotherapy Combined With Chemotherapy for Postoperative Recurrent Penile Squamous Cell Carcinoma: A Case Report and Literature Review.

作者信息

Li Na, Xu Tangpeng, Zhou Zhen, Li Ping, Jia Guohua, Li Xiangpan

机构信息

Cancer Center, Renmin Hospital of Wuhan University, Wuhan, China.

Department of Cardiology, Renmin Hospital of Wuhan University, Wuhan, China.

出版信息

Front Oncol. 2022 Mar 23;12:837547. doi: 10.3389/fonc.2022.837547. eCollection 2022.

Abstract

Penile squamous cell carcinoma (SCC) is a rare malignant tumor in males with a poor prognosis. Currently, the primary treatment is surgery. Recurrent cases have limited treatment options after failed radiotherapy and chemotherapy. The therapeutic effect of immunotherapy in penile SCCs has not been reported. Tislelizumab, a new PD1 inhibitor, has shown a satisfactory impact in treating head and neck SCC and lung SCC combined with chemotherapy. However, there is currently no report on its efficacy in penile SCC. Here, a 76-year-old man with multiple enlarged inguinal lymph nodes 11 months after radical surgery for penile SCC was administered immunotherapy (tislelizumab) combined with chemotherapy (albumin paclitaxel plus nedaplatin) for 2 cycles. Pelvic Magnetic resonance imaging (MRI) showed that the multiple lymph nodes in the groin area disappeared. To our knowledge, this is the first case report of immunotherapy combined with chemotherapy showing promising results in recurrent penile SCC. It provides a basis for developing a new treatment option combining immunotherapy and chemotherapy, whose efficacy needs to be further evaluated in penile SCC.

摘要

阴茎鳞状细胞癌(SCC)是一种罕见的男性恶性肿瘤,预后较差。目前,主要治疗方法是手术。放疗和化疗失败后的复发病例治疗选择有限。免疫疗法在阴茎SCC中的治疗效果尚未见报道。替雷利珠单抗是一种新型PD1抑制剂,在治疗头颈部SCC和联合化疗治疗肺SCC方面已显示出令人满意的效果。然而,目前尚无关于其在阴茎SCC中疗效的报道。在此,一名76岁男性在阴茎SCC根治性手术后11个月出现多个腹股沟淋巴结肿大,接受免疫疗法(替雷利珠单抗)联合化疗(白蛋白紫杉醇加奈达铂)治疗2个周期。盆腔磁共振成像(MRI)显示腹股沟区多个淋巴结消失。据我们所知,这是免疫疗法联合化疗在复发性阴茎SCC中显示出有前景结果的首例病例报告。它为开发免疫疗法和化疗联合的新治疗方案提供了依据,其疗效需要在阴茎SCC中进一步评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e52/8984464/582e29c2e26f/fonc-12-837547-g001.jpg

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