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Published on: July 25, 2020
Treatment of Ovarian Clear Cell Carcinoma: A Case of Successful Management With Targeted Therapies
Sydney Pence1, Kellie Rath2, Aine Clements2
1Department of Obstetrics and Gynecology, Ohio Health-Riverside Methodist Hospital, Columbus, Ohio, USA.
Abstract:
Background: Advanced stages of ovarian clear cell carcinoma have poorer prognoses than many other ovarian cancers. When standard treatments are ineffective, alternative options are needed. Case: A 56-year-old woman was diagnosed with ovarian clear cell carcinoma and treated with surgical management as well as carboplatin and paclitaxel. At recurrence, her disease progressed despite multiple chemotherapy regimens. A durable response was achieved first with alpelisib, chosen based on genomic testing. When progression occurred on this agent, a partial disease response was achieved with the combination of nivolumab and ipilimumab. Conclusion: The use of targeted therapies as well as the combination of nivolumab and ipilimumab is a promising option in advanced and recurrent cases of ovarian clear cell carcinoma.
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