[阿维单抗治疗梅克尔细胞癌:一家专门肿瘤中心的实际经验。

IF 3.8 Q1 DERMATOLOGY Actas dermo-sifiliograficas Pub Date : 2024-10-10 DOI:10.1016/j.ad.2024.10.017
E Ríos-Viñuela, Marta García-Vázquez, María José Juan, Eduardo Nagore, Celia Requena, Onofre Sanmartín, Beatriz Llombart
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引用次数: 0

摘要

免疫疗法的出现彻底改变了对转移性梅克尔细胞癌(MCC)患者的治疗。我们对14例接受阿维列单抗治疗的病例进行了观察性、回顾性研究。反应率为57%:29%的患者达到完全反应,29%的患者达到部分反应。该药物对83%(5/6)的单个转移部位患者有效。然而,75%(3/4)的骨转移患者病情恶化。PD1-L表达、MCC多瘤病毒(MCPyV)阳性和中性粒细胞与幼红细胞比值(NLR)受损与治疗反应无关。阿维单抗是治疗晚期MCC的一种有效而安全的药物,其疗效似乎会受到转移灶数量和位置的影响。
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[[Translated article]]Avelumab to treat Merkel cell carcinoma: real-life experience in a dedicated oncology center.

The arrival of immunotherapy has revolutioned the management of patients with metastatic Merkel cell carcinoma (MCC). We conducted an observational, retrospective study of 14 cases treated with avelumab. The response rate was 57%: complete response was reached in 29% of patients, and partial responses in 29%. The drug proved effective in 83% (5/6) of the patients with a single metastatic site. However, the disease progressed in 75% (3/4) of the patients with bone metastases. PD1-L expression, MCC polyomavirus (MCPyV) positivity, and an impaired neutrophil-to-lypmhocyte ratio (NLR) could not be associated with responses to the therapy. Avelumab is an effective and safe drug for the management of advanced MCC, and its effectiveness appears to be impacted by the number and location of metastases.

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来源期刊
CiteScore
1.90
自引率
9.40%
发文量
473
审稿时长
56 weeks
期刊介绍: Actas Dermo-Sifiliográficas, publicación Oficial de la Academia Española de Dermatología y Venereología, es una revista de prestigio consolidado. Creada en 1909, es la revista mensual más antigua editada en España.En 2006 entró en Medline, y hoy resulta imprescindible para estar al día sobre la dermatología española y mundial.
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