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Updated: Aug 25, 2025

Intramucosal Inoculation of Squamous Cell Carcinoma Cells in Mice for Tumor Immune Profiling and Treatment Response Assessment
Published on: April 22, 2019
Squamous cell carcinoma or squamous proliferation associated with nivolumab treatment for metastatic melanoma
Marie Vu, Sara Chapman, Brittany Lenz
1Department of Pathology, San Antonio Military Medical Center, San Antonio, Texas, USA. wwohltmann@hotmail.com.
Abstract:
Nivolumab is a programmed death-1 (PD1) immune checkpoint inhibitor that treats various types of cancers including non-small cell lung carcinoma and melanoma, among others. Although it serves as an effective immunotherapy, there are many associated immune-related adverse events. Even years after the introduction of nivolumab, the breadth of its side effect profile continues to expand. We present a case of squamous cell carcinoma associated with nivolumab treatment for metastatic melanoma.
Insights
Nivolumab immunotherapy for melanoma can cause rare side effects. This case highlights squamous cell carcinoma as a potential immune-related adverse event during nivolumab treatment.
Area of Science:
- Oncology
- Immunology
- Dermatology
Background:
- Nivolumab is an immune checkpoint inhibitor targeting programmed death-1 (PD1).
- It is approved for treating various cancers, including metastatic melanoma.
- While effective, nivolumab can cause immune-related adverse events.
Observation:
- A patient undergoing nivolumab treatment for metastatic melanoma developed a new condition.
- The patient was diagnosed with squamous cell carcinoma.
- This occurred despite the established efficacy of nivolumab in melanoma treatment.
Findings:
- The case presents a rare immune-related adverse event associated with nivolumab.
- Squamous cell carcinoma emerged as a potential side effect in this patient.
- This finding expands the known spectrum of nivolumab's side effects.
Implications:
- Clinicians should be aware of the expanding side effect profile of nivolumab.
- Early recognition and management of immune-related adverse events are crucial.
- Further research may be needed to understand the mechanisms behind this specific adverse event.
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