Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma
The main recurrence pattern for lung cancer patients after radical surgery is distant metastasis. The probability of pancreatic metastasis in patients diagnosed with lung squamous cell carcinoma is 0.02%, with a poor prognosis. Chemotherapy is the preferred treatment for recurrence. Single lesions o...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wiley
2020-07-01
|
Series: | Thoracic Cancer |
Subjects: | |
Online Access: | https://doi.org/10.1111/1759-7714.13427 |
id |
doaj-ec856d5368544ce9bdd5fae52f3b535f |
---|---|
record_format |
Article |
spelling |
doaj-ec856d5368544ce9bdd5fae52f3b535f2020-11-25T03:30:16ZengWileyThoracic Cancer1759-77061759-77142020-07-011172014201710.1111/1759-7714.13427Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinomaWeiwei Wang0Cheng Huang1Shafei Wu2Zhikai Liu3Lei Liu4Li Li5Shanqing Li6Department of Thoracic Surgery Peking Union Medical College Hospital Beijing ChinaDepartment of Thoracic Surgery Peking Union Medical College Hospital Beijing ChinaDepartment of Pathology Peking Union Medical College Hospital Beijing ChinaDepartment of Radiology Peking Union Medical College Hospital Beijing ChinaDepartment of Thoracic Surgery Peking Union Medical College Hospital Beijing ChinaDepartment of Thoracic Surgery Peking Union Medical College Hospital Beijing ChinaDepartment of Thoracic Surgery Peking Union Medical College Hospital Beijing ChinaThe main recurrence pattern for lung cancer patients after radical surgery is distant metastasis. The probability of pancreatic metastasis in patients diagnosed with lung squamous cell carcinoma is 0.02%, with a poor prognosis. Chemotherapy is the preferred treatment for recurrence. Single lesions or oligometastasis can be surgically resected, and local lesions with compression symptoms can be treated with radiotherapy. The FDA and NMPA have approved first‐line indications for immunotherapy for lung squamous cell carcinoma. Here, we report the case of a 57‐year‐old male patient with lung squamous cell carcinoma who developed pancreatic metastasis after radical resection. The disease progressed after first‐line chemotherapy, and the patient was treated with immunotherapy combined with radiotherapy. We subsequently observed the abscopal effect of intensity modulated radiation therapy (IMRT) and pembrolizumab with disappearance of lung metastasis after radiotherapy for pancreatic metastasis. The patient’s tumor symptoms were relieved with prolonged survival.https://doi.org/10.1111/1759-7714.13427Abscopal effectimmunotherapylung cancermetastasispancreaticradiotherapy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Weiwei Wang Cheng Huang Shafei Wu Zhikai Liu Lei Liu Li Li Shanqing Li |
spellingShingle |
Weiwei Wang Cheng Huang Shafei Wu Zhikai Liu Lei Liu Li Li Shanqing Li Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma Thoracic Cancer Abscopal effect immunotherapy lung cancer metastasis pancreatic radiotherapy |
author_facet |
Weiwei Wang Cheng Huang Shafei Wu Zhikai Liu Lei Liu Li Li Shanqing Li |
author_sort |
Weiwei Wang |
title |
Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma |
title_short |
Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma |
title_full |
Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma |
title_fullStr |
Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma |
title_full_unstemmed |
Abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma |
title_sort |
abscopal effect induced by modulated radiation therapy and pembrolizumab in a patient with pancreatic metastatic lung squamous cell carcinoma |
publisher |
Wiley |
series |
Thoracic Cancer |
issn |
1759-7706 1759-7714 |
publishDate |
2020-07-01 |
description |
The main recurrence pattern for lung cancer patients after radical surgery is distant metastasis. The probability of pancreatic metastasis in patients diagnosed with lung squamous cell carcinoma is 0.02%, with a poor prognosis. Chemotherapy is the preferred treatment for recurrence. Single lesions or oligometastasis can be surgically resected, and local lesions with compression symptoms can be treated with radiotherapy. The FDA and NMPA have approved first‐line indications for immunotherapy for lung squamous cell carcinoma. Here, we report the case of a 57‐year‐old male patient with lung squamous cell carcinoma who developed pancreatic metastasis after radical resection. The disease progressed after first‐line chemotherapy, and the patient was treated with immunotherapy combined with radiotherapy. We subsequently observed the abscopal effect of intensity modulated radiation therapy (IMRT) and pembrolizumab with disappearance of lung metastasis after radiotherapy for pancreatic metastasis. The patient’s tumor symptoms were relieved with prolonged survival. |
topic |
Abscopal effect immunotherapy lung cancer metastasis pancreatic radiotherapy |
url |
https://doi.org/10.1111/1759-7714.13427 |
work_keys_str_mv |
AT weiweiwang abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma AT chenghuang abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma AT shafeiwu abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma AT zhikailiu abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma AT leiliu abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma AT lili abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma AT shanqingli abscopaleffectinducedbymodulatedradiationtherapyandpembrolizumabinapatientwithpancreaticmetastaticlungsquamouscellcarcinoma |
_version_ |
1724576527185608704 |