[非小细胞肺癌免疫检查点抑制剂引起的免疫相关性胃食管炎伴咽喉炎病例]。

Yasuhiro Oka, Yukako Hamano, Ryo Nakamura, Keisuke Mabuchi, Masanori Ochi, Yuji Yamaguchi, Haruka Okawara, Atsushi Okawara, Nobushige Kakinoki, Toshiro Kamoshida
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引用次数: 0

摘要

近年来,随着免疫检查点抑制剂(ICI)的出现,癌症治疗的选择范围不断扩大。然而,也有 ICI 特异性不良事件(irAEs)的报道。下消化道病变,如结肠炎和肠炎,占大多数胃肠道irAEs,而上消化道病变的报道很少见。我们报告了一例罕见的与 ICI 相关的胃食管炎病例。患者是一名 64 岁的男性。他被诊断为肺腺癌IIIB期(cT2aN3M0),并开始将彭布利珠单抗(PEM)作为一线治疗药物。在使用 PEM 5 个月后,患者出现了严重的胃食管炎和咽喉炎。在停用 PEM 和使用类固醇后,情况有所好转。关于 ICI 相关性胃炎,尤其是喉咽炎的报道仍然有限;因此,我们认为本病例很有价值,它证实了 ICI 相关性胃食管炎的临床特征及其治疗效果。
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[A case of immune-related gastroesophagitis with laryngopharyngitis caused by immune checkpoint inhibitors in nonsmall cell lung cancer].

With the advent of immune checkpoint inhibitors (ICI), cancer treatment options have widened in recent years. However, ICI-specific adverse events (irAEs) have been reported. Lower gastrointestinal lesions, such as colitis and enteritis, account for most gastrointestinal irAEs, and reports of upper gastrointestinal lesions are rare. We report a rare case of gastroesophagitis associated with ICI. The patient was a 64-year-old male. He was diagnosed with lung adenocarcinoma stage IIIB (cT2aN3M0), and pembrolizumab (PEM) was started as a first-line treatment. Severe gastroesophagitis with laryngopharyngitis was confirmed 5 months after PEM administration. These improved after withdrawal of PEM and steroid administration. Reports of ICI-associated gastritis remain limited, especially with laryngopharyngitis;therefore, we consider this case as valuable, in which we confirmed the clinical features of ICI-associated gastroesophagitis and its therapeutic effects.

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来源期刊
Japanese Journal of Gastroenterology
Japanese Journal of Gastroenterology Medicine-Gastroenterology
CiteScore
0.20
自引率
0.00%
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0
期刊介绍: The Journal of Gastroenterology, which is the official publication of the Japanese Society of Gastroenterology, publishes Original Articles (Alimentary Tract/Liver, Pancreas, and Biliary Tract), Review Articles, Letters to the Editors and other articles on all aspects of the field of gastroenterology. Significant contributions relating to basic research, theory, and practice are welcomed. These publications are designed to disseminate knowledge in this field to a worldwide audience, and accordingly, its editorial board has an international membership.
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