关键词: ICI LCNEC combination therapy ipilimumab nivolumab radiotherapy

Mesh : AMP-Activated Protein Kinase Kinases Carcinoma, Large Cell / diagnosis genetics pathology therapy Carcinoma, Neuroendocrine / diagnosis genetics pathology therapy Chemoradiotherapy Drug Resistance, Neoplasm Etoposide / therapeutic use Humans Immune Checkpoint Inhibitors / therapeutic use Immunotherapy Ipilimumab / therapeutic use Lung Neoplasms / diagnosis genetics pathology therapy Male Middle Aged Mutation Nivolumab / therapeutic use Protein Serine-Threonine Kinases / genetics Radiosurgery Treatment Outcome beta 2-Microglobulin / genetics

来  源:   DOI:10.2217/imt-2019-0166   PDF(Sci-hub)

Abstract:
Lung large-cell neuroendocrine carcinoma (LCNEC) is a rare tumor with poor prognosis. Despite the increasing prevalence of immune checkpoint inhibitors (ICIs) across a broad spectrum of solid tumors, very limited information is available about the efficacy in LCNEC. Here, we report a case of advanced lung LCNEC treated with combined radiotherapy and ICIs, which resulted in a durable response. We also focused on the impressive reaction of metastatic and primary lesions to two different combination modes of radiotherapy and ICIs.
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