Histologic findings of liver injury during pembrolizumab-axitinib treatment.

IF 4 4区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Revista Espanola De Enfermedades Digestivas Pub Date : 2025-02-11 DOI:10.17235/reed.2025.11064/2025
Rita Carrilho Pichel, Hugo Miguel Miranda, Diogo Carvalho Sá, João Queirós Coelho, Pedro Lemos Lopes, Maria João Ramos, José Ramón Viscaíno, António Araújo
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Abstract

Hepatotoxicity is a significant concern in systemic cancer treatments. The pembrolizumab-axitinib combination, used in advanced renal cell carcinoma (RCC), is associated with a 22% incidence of ≥G3 liver enzyme elevations. In this case report we provide the first description of liver biopsy findings of axitinib or pembrolizumab-axitinib drug-induced liver injury (DILI). These findings may enhance understanding of the hepatotoxic effects of this combination and inform strategies for patient management.

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派姆单抗-阿西替尼治疗期间肝损伤的组织学表现。
肝毒性是系统性癌症治疗中的一个重要问题。用于晚期肾细胞癌(RCC)的派姆单抗-阿西替尼联合治疗与22%≥G3肝酶升高的发生率相关。在本病例报告中,我们首次描述了阿西替尼或派姆单抗-阿西替尼药物引起的肝损伤(DILI)的肝活检结果。这些发现可能会加强对这种组合的肝毒性作用的理解,并为患者管理提供策略。
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来源期刊
CiteScore
2.00
自引率
25.00%
发文量
400
审稿时长
6-12 weeks
期刊介绍: La Revista Española de Enfermedades Digestivas, Órgano Oficial de la Sociedad Española de Patología Digestiva (SEPD), Sociedad Española de Endoscopia Digestiva (SEED) y Asociación Española de Ecografía Digestiva (AEED), publica artículos originales, editoriales, revisiones, casos clínicos, cartas al director, imágenes en patología digestiva, y otros artículos especiales sobre todos los aspectos relativos a las enfermedades digestivas.
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