Shaaban Adnan, Habib Alma, Quiroga Dionisia, Cherian Mathew, Davenport Ashley, Sardesai Sagar, Johnson Kai, Bader Gilbert, Wesolowski Robert, Williams Nicole, Stover Daniel, Corps Kara, Meara Alexa, Potter Adam S, Addison Daniel, Gatti-Mays Margaret
Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA; Cardio-Oncology Program, Division of Cardiology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
Department of Medical Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
JACC Case Rep. 2025 May 7;30(9):103271. doi: 10.1016/j.jaccas.2025.103271. Epub 2025 Mar 12.
Immune checkpoint inhibitors (ICI), in combination with chemotherapy, have been approved for the treatment of triple-negative breast cancer (TNBC). ICI-induced myocarditis is a rare complication with a high mortality rate. Diagnosis of ICI-induced myocarditis can be challenging because of the heterogeneity of clinical presentation, histopathological studies, and severity of disease. Smoldering myocarditis is a subclinical myocarditis in which patients are asymptomatic or present with mild, nonspecific signs and symptoms. To date, there have been no reports on the incidence, characteristics, or outcomes of ICI-induced SM in TNBC. Herein, we highlight 2 cases of pembrolizumab-induced smoldering myocarditis in patients treated with ICI for TNBC.
免疫检查点抑制剂(ICI)联合化疗已被批准用于治疗三阴性乳腺癌(TNBC)。ICI 诱发的心肌炎是一种罕见的并发症,死亡率很高。由于临床表现、组织病理学研究和疾病严重程度的异质性,ICI 诱发的心肌炎的诊断可能具有挑战性。隐匿性心肌炎是一种亚临床心肌炎,患者无症状或仅表现出轻微的非特异性体征和症状。迄今为止,尚无关于 TNBC 中 ICI 诱发的隐匿性心肌炎的发病率、特征或结局的报道。在此,我们重点介绍 2 例接受 ICI 治疗 TNBC 的患者发生的帕博利珠单抗诱发的隐匿性心肌炎病例。