单位:[1]Department of Medical Oncology, Integrated Traditional Chinese and Western Medicine, China-Japan Friendship Hospital,Beijing, China[2]Department of Respiratory and Critical Care Medicine, China-Japan Friendship Hospital, Beijing, China[3]Department of Cardiology, Integrated Traditional Chinese and Western Medicine, China-Japan Friendship Hospital, Beijing,China[4]Department of Neurology, China-Japan Friendship Hospital, Beijing, China[5]Department of Endocrinology, China-Japan Friendship Hospital, Beijing, China[6]Department of Radiology, China-Japan Friendship Hospital, Beijing, China
Immune-related adverse events (irAEs) following treatment with immune checkpoint inhibitors (ICIs) can affect almost any organ systems. Multiple-organs irAEs are a rare occurrence which makes its management and treatment very challenging. This is a case report of a 71-year-old man with advanced non-small cell lung cancer (NSCLC) who developed multiple-organs irAEs (lung, muscle, myocardium, liver, and pituitary) after a single cycle (21 days) of the BGB-A317 (Tislelizumab). After more than two months of immunosuppression treatment with glucocorticoids, the tumor and inflammatory lesions in the lung were reduced. The levels of serum creatase, cardiac troponin T (TNT), and hepatic transaminase were also reduced. Four months after the termination of ICI therapy, the lung tumor reappeared in the previous site. This rare case report supplies several experiences in the management of multiple-organs irAEs, including full-scale monitoring of immunological indicators, early differential diagnosis, and prompt glucocorticoid therapy. This patient was not a candidate for the ICI re-challenge therapy due to the number and seriousness of irAEs. Multiple-organs irAEs add complexity to the management, and additional research is needed to develop optimal therapeutic guidelines.
第一作者单位:[1]Department of Medical Oncology, Integrated Traditional Chinese and Western Medicine, China-Japan Friendship Hospital,Beijing, China
通讯作者:
推荐引用方式(GB/T 7714):
Deng Chao,Yang Meng,Jiang Hong,et al.Immune-Related Multiple-Organs Injuries Following ICI Treatment With Tislelizumab in an Advanced Non-Small Cell Lung Cancer Patient: A Case Report[J].FRONTIERS in ONCOLOGY.2021,11:doi:10.3389/fonc.2021.664809.
APA:
Deng, Chao,Yang, Meng,Jiang, Hong,Wang, Renbin,Yang, Zhaojun...&Cui, Huijuan.(2021).Immune-Related Multiple-Organs Injuries Following ICI Treatment With Tislelizumab in an Advanced Non-Small Cell Lung Cancer Patient: A Case Report.FRONTIERS in ONCOLOGY,11,
MLA:
Deng, Chao,et al."Immune-Related Multiple-Organs Injuries Following ICI Treatment With Tislelizumab in an Advanced Non-Small Cell Lung Cancer Patient: A Case Report".FRONTIERS in ONCOLOGY 11.(2021)