Imaging findings can't mean everything in the era of immunotherapy: a case report and literature review.

IF 2.3 4区 医学 Q3 IMMUNOLOGY Immunotherapy Pub Date : 2024-02-01 Epub Date: 2023-12-19 DOI:10.2217/imt-2023-0158
Xiangye Zhao, Kewei Ma, Xiaobo Ma, Xu Wang, Chao Sun, Shi Qiu, Ye Guo, Zhiguang Yang, Yunpeng Liu, Yinghui Xu
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Abstract

Immune-checkpoint inhibitors (ICIs) play an important role in the treatment of cancers. However, immunotherapy can also induce atypical response patterns, including pseudoprogression, which is challenging to clinicians. We reported a case of non-small-cell lung cancer showing so-called pseudoprogression during the treatment of pembrolizumab and the patient benefited clinically from continued treatment with ICIs. Therefore, beside imaging evaluation, the assessment of Eastern Cooperative Oncology Group performance status score, numerical rating scale score of cancer pain, tumor markers levels, and neutrophil-to-lymphocyte ratio should be used for response evaluation of tumors in the era of immunotherapy. And more accurate evaluation methods and reliable information are urgently needed to better understand the pseudoprogression.

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免疫疗法时代,成像结果不能代表一切:病例报告和文献综述。
免疫检查点抑制剂(ICIs)在癌症治疗中发挥着重要作用。然而,免疫疗法也可能诱发非典型反应模式,包括假性进展,这对临床医生来说具有挑战性。我们报道了一例非小细胞肺癌患者在接受 pembrolizumab 治疗期间出现了所谓的假性进展,患者在继续接受 ICIs 治疗后临床获益。因此,在免疫治疗时代,除影像学评估外,还应将东部合作肿瘤学组表现状态评分、癌痛评分表评分、肿瘤标志物水平、中性粒细胞与淋巴细胞比值等用于肿瘤的反应评估。为了更好地了解假性进展,我们迫切需要更准确的评估方法和更可靠的信息。
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来源期刊
Immunotherapy
Immunotherapy 医学-免疫学
CiteScore
5.00
自引率
3.60%
发文量
113
审稿时长
6-12 weeks
期刊介绍: Many aspects of the immune system and mechanisms of immunomodulatory therapies remain to be elucidated in order to exploit fully the emerging opportunities. Those involved in the research and clinical applications of immunotherapy are challenged by the huge and intricate volumes of knowledge arising from this fast-evolving field. The journal Immunotherapy offers the scientific community an interdisciplinary forum, providing them with information on the most recent advances of various aspects of immunotherapies, in a concise format to aid navigation of this complex field. Immunotherapy delivers essential information in concise, at-a-glance article formats. Key advances in the field are reported and analyzed by international experts, providing an authoritative but accessible forum for this vitally important area of research. Unsolicited article proposals are welcomed and authors are required to comply fully with the journal''s Disclosure & Conflict of Interest Policy as well as major publishing guidelines, including ICMJE and GPP3.
期刊最新文献
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