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Retroductal Submandibular Gland Instillation and Localized Fractionated Irradiation in a Rat Model of Salivary Hypofunction
Published on: April 24, 2016
Sintilimab combined with chemotherapy successfully treated a patient with advanced submandibular gland tumor
Yingfang Zhang1, Min Zhang2, Jing Zhang2
1Department of Oncology, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan Province, 453100, People's Republic of China.
Abstract:
Primary submandibular gland tumors are relatively rare. Due to its low incidence and broad spectrum phenotypic, biological and clinical heterogeneity types, a wide range of options have been developed to treat this tumor. To date, however, efficacious standard treatment regimens are lacking. Here, the authors present a case of a patient with an advanced submandibular gland tumor. Histological and imaging results diagnosed the case as stage IV submandibular gland adenocarcinoma with multiple metastases. The patient was subjected to systemic platinum-based chemotherapy combined with sintilimab. A primary lesion complete response was observed after six cycles of treatment. This case affirms the efficacy of the PD-1 inhibitor sintilimab combined with platinum-based chemotherapy as a first-line treatment for advanced submandibular gland tumors.
Insights
Advanced submandibular gland adenocarcinoma showed a complete response to sintilimab (a PD-1 inhibitor) plus chemotherapy. This combination therapy offers a promising new treatment for rare, advanced salivary gland tumors.
Area of Science:
- Oncology
- Immunotherapy
- Salivary Gland Neoplasms
Background:
- Primary submandibular gland tumors are rare and present significant treatment challenges due to heterogeneity.
- Existing treatment regimens lack established efficacy for advanced stages.
Observation:
- A patient with stage IV submandibular gland adenocarcinoma and metastases was treated.
- The patient received systemic platinum-based chemotherapy combined with sintilimab (a PD-1 inhibitor).
Findings:
- A complete response of the primary lesion was observed after six cycles of treatment.
- The combination therapy demonstrated significant efficacy in managing advanced disease.
Implications:
- Sintilimab combined with platinum-based chemotherapy shows potential as a first-line treatment for advanced submandibular gland tumors.
- This approach may offer a new therapeutic strategy for rare salivary gland cancers.
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