Lung autotransplantation combined with postoperative chemotherapy and immunotherapy: a three-year follow-up case report.

IF 2.5 3区 医学 Q3 ONCOLOGY World Journal of Surgical Oncology Pub Date : 2024-10-09 DOI:10.1186/s12957-024-03545-9
Jiang Wang, Tong Li, Hengxiao Lu, Qiang Zhao
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Abstract

Background: Lung cancer remains a leading cause of cancer-related mortality worldwide. Autotransplantation has emerged as a potential surgical intervention in select cases, with the aim of achieving curative outcomes. This case report describes a novel approach combining lung autotransplantation with postoperative chemotherapy and immunotherapy, delineating the patient's journey over a period of three years.

Case presentation: We report on a 37-year-old patient with stage IIIA non-small cell lung cancer (NSCLC) who underwent lung autotransplantation. Despite the complexity of the procedure, the patient had a favorable postoperative course. Adjuvant therapy included a PD-1 inhibitor and a standard chemotherapy regimen. The patient's follow-up involved regular clinical assessment, imaging, and functional status evaluation, demonstrating a remarkable disease-free survival at the three-year mark postoperatively.

Conclusion: This case highlights the potential for lung autotransplantation coupled with immunotherapy and chemotherapy to yield significant long-term survival benefits in patients with NSCLC. The favorable outcome suggests that this integrative treatment strategy warrants further investigation and may offer hope to patients with similarly advanced lung cancer.

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肺自体移植联合术后化疗和免疫疗法:三年随访病例报告。
背景:肺癌仍然是全球癌症相关死亡的主要原因。在特定病例中,自体移植已成为一种潜在的外科干预手段,目的是达到治愈效果。本病例报告描述了一种将肺自体移植与术后化疗和免疫疗法相结合的新方法,描述了患者三年来的治疗历程:我们报告了一名 37 岁的 IIIA 期非小细胞肺癌(NSCLC)患者接受肺自体移植的情况。尽管手术复杂,但患者术后情况良好。辅助治疗包括 PD-1 抑制剂和标准化疗方案。患者的随访包括定期临床评估、影像学检查和功能状态评估,术后三年的无病生存率非常高:本病例凸显了肺自体移植与免疫疗法和化疗相结合为 NSCLC 患者带来显著的长期生存益处的潜力。良好的疗效表明,这种综合治疗策略值得进一步研究,并可能为类似的晚期肺癌患者带来希望。
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来源期刊
CiteScore
4.70
自引率
15.60%
发文量
362
审稿时长
3 months
期刊介绍: World Journal of Surgical Oncology publishes articles related to surgical oncology and its allied subjects, such as epidemiology, cancer research, biomarkers, prevention, pathology, radiology, cancer treatment, clinical trials, multimodality treatment and molecular biology. Emphasis is placed on original research articles. The journal also publishes significant clinical case reports, as well as balanced and timely reviews on selected topics. Oncology is a multidisciplinary super-speciality of which surgical oncology forms an integral component, especially with solid tumors. Surgical oncologists around the world are involved in research extending from detecting the mechanisms underlying the causation of cancer, to its treatment and prevention. The role of a surgical oncologist extends across the whole continuum of care. With continued developments in diagnosis and treatment, the role of a surgical oncologist is ever-changing. Hence, World Journal of Surgical Oncology aims to keep readers abreast with latest developments that will ultimately influence the work of surgical oncologists.
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