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信迪利单抗联合放化疗治疗双原发头颈部癌后完全缓解:病例报告

Complete remission after sintilimab combined with chemoradiotherapy in double primary head and neck carcinoma: case report.

作者信息

Lu Xiameng, Tan Bibo, Yang Liuting, Huang Suning

机构信息

Department of Radiation Oncology, Guangxi Medical University Cancer Hospital, Nanning, Guangxi, China.

Medical College of Oncology, Guangxi Medical University, Nanning, Guangxi, China.

出版信息

Front Oncol. 2024 Dec 24;14:1397877. doi: 10.3389/fonc.2024.1397877. eCollection 2024.

Abstract

The simultaneous occurrence of head and neck squamous carcinoma in two anatomical sites is rare, posing challenges in treatment selection. This paper presents a clinical case of concurrent hypopharyngeal carcinoma and nasopharyngeal carcinoma, successfully treated with a combination of chemoradiotherapy and an immune checkpoint inhibitor. The patient achieved complete remission and progression-free survival of nearly 3 years, with preserved organ function and minimal toxic side effects, leading to a good quality of life. This case highlights the potential of combined concurrent chemoradiotherapy and immune checkpoint inhibitors in managing double primary HNSCC, offering a promising treatment option for these patients.

摘要

头颈部鳞状细胞癌在两个解剖部位同时出现的情况很少见,这给治疗方案的选择带来了挑战。本文介绍了一例下咽癌和鼻咽癌同时发生的临床病例,通过放化疗和免疫检查点抑制剂联合治疗取得了成功。该患者实现了完全缓解并获得了近3年的无进展生存期,器官功能得以保留,毒副作用最小,生活质量良好。该病例凸显了同步放化疗和免疫检查点抑制剂联合治疗在双原发头颈部鳞状细胞癌管理中的潜力,为这些患者提供了一种有前景的治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/42d7/11703958/248d455aa3d1/fonc-14-1397877-g001.jpg

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