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双重作用:新突变体马赛克对新辅助派姆单抗的两个结直肠原发灶的完全病理反应。

Double Duty: Complete Pathologic Response of Two Colonic Primaries with Mosaicism of a Novel Mutation to Neoadjuvant Pembrolizumab.

机构信息

Division of Medical Oncology, Department of Oncology, Western University, London, ON N6A 3K7, Canada.

Division of Molecular Diagnostics, Western University, London, ON N6A 3K7, Canada.

出版信息

Curr Oncol. 2023 Oct 6;30(10):9039-9048. doi: 10.3390/curroncol30100653.

DOI:10.3390/curroncol30100653
PMID:37887553
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10605803/
Abstract

We present a fascinating case of a 57-year-old male with a novel mutation in MLH1 (), who presented with two synchronous colonic tumours, initially deemed unresectable, and experienced a complete pathological response on neoadjuvant pembrolizumab. Extensive genetic testing revealed post-zygotic mosaicism from the novel mutation.

摘要

我们呈现了一个非常有趣的病例,一名 57 岁男性 MLH1() 中存在新突变,他最初表现为两个同时性结肠肿瘤,最初认为不可切除,但在新辅助帕博利珠单抗治疗后完全病理缓解。广泛的遗传检测显示该新突变来自合子后镶嵌现象。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d68a/10605803/a7e5d09f1fd1/curroncol-30-00653-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d68a/10605803/87cf0934f009/curroncol-30-00653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d68a/10605803/a7e5d09f1fd1/curroncol-30-00653-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d68a/10605803/87cf0934f009/curroncol-30-00653-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d68a/10605803/a7e5d09f1fd1/curroncol-30-00653-g002a.jpg

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本文引用的文献

1
First-Line Nivolumab Plus Low-Dose Ipilimumab for Microsatellite Instability-High/Mismatch Repair-Deficient Metastatic Colorectal Cancer: The Phase II CheckMate 142 Study.一线纳武利尤单抗联合低剂量伊匹木单抗治疗微卫星高度不稳定/错配修复缺陷转移性结直肠癌:II期CheckMate 142研究
J Clin Oncol. 2022 Jan 10;40(2):161-170. doi: 10.1200/JCO.21.01015. Epub 2021 Oct 12.
2
Pembrolizumab in Microsatellite-Instability-High Advanced Colorectal Cancer.帕博利珠单抗治疗微卫星高度不稳定型晚期结直肠癌。
N Engl J Med. 2020 Dec 3;383(23):2207-2218. doi: 10.1056/NEJMoa2017699.
3
Efficacy and safety of neoadjuvant immunotherapy in patients with microsatellite instability-high gastrointestinal malignancies: A case series.
新辅助免疫疗法治疗微卫星不稳定型胃肠道恶性肿瘤患者的疗效和安全性:病例系列研究。
Eur J Surg Oncol. 2020 Oct;46(10 Pt B):e33-e39. doi: 10.1016/j.ejso.2020.06.034. Epub 2020 Jun 24.
4
Molecular tumor testing in patients with Lynch-like syndrome reveals a de novo mosaic variant of a mismatch repair gene transmitted to offspring.林奇样综合征患者的分子肿瘤检测揭示了一个错配修复基因的新生镶嵌变体,该变体传递给后代。
Eur J Hum Genet. 2020 Nov;28(11):1624-1628. doi: 10.1038/s41431-020-0689-6. Epub 2020 Jul 16.
5
Neoadjuvant immunotherapy leads to pathological responses in MMR-proficient and MMR-deficient early-stage colon cancers.新辅助免疫治疗导致 MMR 功能正常和 MMR 缺陷的早期结肠癌发生病理应答。
Nat Med. 2020 Apr;26(4):566-576. doi: 10.1038/s41591-020-0805-8. Epub 2020 Apr 6.
6
Somatic mosaicism by a de novo MLH1 mutation as a cause of Lynch syndrome.胚系 MLH1 突变导致的体细胞核型嵌合作为 Lynch 综合征的病因。
Mol Genet Genomic Med. 2019 Jul;7(7):e00699. doi: 10.1002/mgg3.699. Epub 2019 May 18.