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PD-1抑制剂卡瑞利珠单抗单药治疗逆转低PD-1表达的晚期肺鳞状细胞癌:一例报告

Monotherapy of PD-1 Inhibitor Camrelizumab Reverses Advanced Lung Squamous Cell Carcinoma with Low PD-1 Expression: A Case Report.

作者信息

Zheng Xiufen, Li Jue, Gao Zhenqing, Fang Yi, Feng Zikai

机构信息

Department of Pulmonary Critical Care Medicine, The First Affiliated Hospital of Shantou University Medical College, Shantou, China.

Center for Nursing Research, Shantou University Medical College, Shantou, China.

出版信息

Case Rep Oncol. 2024 Aug 26;17(1):928-934. doi: 10.1159/000540670. eCollection 2024 Jan-Dec.

Abstract

INTRODUCTION

Chemotherapy plus immunotherapy is the standard treatment worldwide for advanced lung squamous cell carcinoma with high programmed cell death protein-1 (PD-1) expression. The use of immunotherapy alone against advanced lung squamous cell carcinoma is rarely reported, and data on PD-1 inhibitor camrelizumab are missing. We report the first case of camrelizumab monotherapy, which can be a reference for the clinical applications of camrelizumab in a wider context.

CASE PRESENTATION

We herein present a 69-year-old male case of advanced squamous cell carcinoma with low PD-1 expression, in which camrelizumab monotherapy was administered every 3 weeks. Camrelizumab monotherapy reversed advanced lung squamous cell carcinoma without recurrence or obvious side effects during 26 months of follow-up. The patient is alive and in good conditions to date; thus, progression-free survival and overall survival are not determined.

CONCLUSION

This case report provides evidence of the efficacy of camrelizumab monotherapy and highlights the feasibility of camrelizumab alone against advanced lung squamous cell carcinoma when chemotherapy is not applicable.

摘要

引言

化疗联合免疫疗法是全球范围内治疗程序性细胞死亡蛋白1(PD-1)高表达的晚期肺鳞状细胞癌的标准疗法。单独使用免疫疗法治疗晚期肺鳞状细胞癌的报道很少,且缺乏关于PD-1抑制剂卡瑞利珠单抗的数据。我们报告首例卡瑞利珠单抗单药治疗病例,可为卡瑞利珠单抗在更广泛临床应用中提供参考。

病例介绍

我们在此报告一例69岁男性晚期鳞状细胞癌患者,其PD-1表达较低,每3周接受一次卡瑞利珠单抗单药治疗。在26个月的随访中,卡瑞利珠单抗单药治疗使晚期肺鳞状细胞癌病情逆转,且无复发或明显副作用。该患者至今仍存活且状况良好;因此,无进展生存期和总生存期尚未确定。

结论

本病例报告提供了卡瑞利珠单抗单药治疗疗效的证据,并突出了在不适用化疗时,卡瑞利珠单抗单药治疗晚期肺鳞状细胞癌的可行性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0b70/11521453/8532b6b1606c/cro-2024-0017-0001-540670_F01.jpg

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