[A Case of Advanced Lung Adenocarcinoma in an Elderly Patient Who Maintained Responsiveness after Discontinuation of Immune Checkpoint Inhibitors]

Gan To Kagaku Ryoho. 2023 Nov;50(11):1231-1233.
[Article in Japanese]

Abstract

An 81-year-old woman was admitted to our hospital because of an abnormal opacity on the chest radiograph. She was diagnosed with cT3N3M1a, Stage ⅣA left lower lung lobe adenocarcinoma, and the PD-L1(22C3)expression was high (tumor proportion score[TPS]: 100%). She was administered with pembrolizumab monotherapy because her performance status(PS)was PS 1. After 4 courses, she had a partial response(PR), but her treatment had to be discontinued because of cutaneous adverse effects. After 6 months, the tumor regrew, and atezolizumab monotherapy was provided. Another cutaneous adverse event occurred, and treatment was discontinued again. However, a complete response(CR)was maintained for approximately 2 years and 6 months after discontinuation of treatments.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Adenocarcinoma of Lung* / drug therapy
  • Aged
  • Aged, 80 and over
  • Antineoplastic Agents, Immunological* / adverse effects
  • B7-H1 Antigen
  • Carcinoma, Non-Small-Cell Lung* / drug therapy
  • Female
  • Humans
  • Immune Checkpoint Inhibitors / therapeutic use
  • Lung Neoplasms* / drug therapy
  • Lung Neoplasms* / pathology

Substances

  • Immune Checkpoint Inhibitors
  • Antineoplastic Agents, Immunological
  • B7-H1 Antigen