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Immunotherapy-Related Sialadenitis.
1Internal Medicine, Moffitt Cancer Center, Tampa, USA.
Cureus
|April 17, 2025
Summary
Immunotherapy-related sialadenitis, an inflammation of salivary glands, can occur during cancer treatment. This case highlights a patient who developed this condition while on ipilimumab/nivolumab therapy for melanoma.
Area of Science:
- Oncology
- Immunology
- Pathology
Background:
- Sialadenitis is a common salivary gland inflammation.
- Cancer immunotherapies, like ipilimumab/nivolumab, harness the immune system to fight tumors.
- Metastatic melanoma requires aggressive treatment strategies.
Observation:
- A 21-year-old female with metastatic melanoma presented with neck swelling.
- Computed tomography (CT) revealed inflammation in both submandibular salivary glands.
- Symptoms were attributed to the combination ipilimumab/nivolumab treatment.
Findings:
- The patient was diagnosed with immunotherapy-related sialadenitis.
- The condition specifically affected the submandibular glands.
- Prompt response to systemic corticosteroid treatment was observed.
Implications:
- This case expands the known side effects of ipilimumab/nivolumab therapy.
- Early recognition and management of immunotherapy-related sialadenitis are crucial.
- Corticosteroids appear effective in treating this adverse event.

