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病例报告:寡转移铂耐药卵巢癌的间质内植入放疗联合免疫治疗和 GM-CSF。

Case report: Interstitial implantation radiotherapy combined with immunotherapy and GM-CSF in oligometastatic platinum-resistant ovarian cancer.

机构信息

Department of Oncology, The Affiliated Hospital of Southwest Medical University, Southwest Medical University, Luzhou, Sichuan, China.

Department of Oncology, The First People's Hospital of Suining, Suining, Sichuan, China.

出版信息

Front Immunol. 2024 Jan 3;14:1329951. doi: 10.3389/fimmu.2023.1329951. eCollection 2023.

Abstract

BACKGROUND

Treatment for platinum-resistant ovarian cancer is challenging. Currently, platinum-resistant ovarian cancer is typically treated with non-platinum single-agent chemotherapy ± bevacizumab, but the prognosis is often extremely poor. In the treatment of platinum-resistant ovarian cancer patients, reports of triple therapy with interstitial implantation radiotherapy combined with immunotherapy and granulocyte-macrophage colony-stimulating factor (GM-CSF) (PRaG for short) are relatively rare.

CASE DESCRIPTION

Here, we report a patient with oligometastatic platinum-resistant ovarian cancer. The patient achieved partial response (PR) of the lesion and sustained benefit for more than six months after receiving interstitial implantation radiotherapy combined with immunotherapy along with GM-CSF.

CONCLUSION

This triple therapy may provide additional options for these patients.

摘要

背景

铂耐药卵巢癌的治疗具有挑战性。目前,铂耐药卵巢癌通常采用非铂类单药化疗±贝伐珠单抗治疗,但预后往往极差。在铂耐药卵巢癌患者的治疗中,联合间质内植入放疗、免疫治疗和粒细胞-巨噬细胞集落刺激因子(GM-CSF)三联治疗的报告相对较少(简称 PRaG)。

病例描述

本研究报道了 1 例寡转移铂耐药卵巢癌患者,该患者接受间质内植入放疗联合免疫治疗和 GM-CSF 治疗后,病变部分缓解(PR)且获益持续超过 6 个月。

结论

这种三联疗法可能为这些患者提供更多的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6795/10791797/29210cf5b4b1/fimmu-14-1329951-g001.jpg

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