从纳武单抗治疗中寻找免疫介导的胃炎的组织病理学模式:一个病例报告并文献复习

F. M. Fernández-Gordón Sánchez, E. Gómez Domínguez, C. Garfia Castillo, Jorge Arroyo Andres, L. Robles Díaz, Y. Rodríguez Gil
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引用次数: 0

摘要

使用检查点抑制剂的免疫治疗与炎症和免疫相关副作用(irAE)相关。上消化道症状不常见,主要出现在联合使用两种检查点抑制剂药物的患者中。我们报告了一例IIIB期皮肤黑色素瘤患者,接受纳武单抗单药治疗,并发免疫介导性胃炎。组织病理学上,由于缺乏发表的病例,没有特定模式的尼沃鲁单抗免疫介导的胃炎已被描述。我们回顾了文献并比较了文献中可用病例的组织病理学。
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In Search of a Histopathological Pattern of Immune-Mediated Gastritis from Nivolumab Therapy: A Case Report with Literature Review
Immunotherapy with checkpoint inhibitors is associated with termed inflammatory and immune-related side effects (irAE). Upper gastrointestinal symptoms are infrequent and appear mainly in patients on combination therapy with two checkpoint inhibitor drugs. We present the case of a patient with IIIB stage cutaneous melanoma treated with Nivolumab in monotherapy who developed an immune-mediated gastritis. Histopathologically, due to the paucity of published cases, no specific pattern of Nivolumab-immune-mediated gastritis has been described. We have reviewed the literature and compared the histopathology of the cases available in the literature.
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