以免疫检查点抑制剂治疗的晚期癌症患者的超级进展性疾病
Gülin Alkan Şen1, Nihan Şentürk Öztaş2, Ezgi Değerli2
1Division of Medical Oncology, Department of Internal Medicine, Cerrahpaşa Faculty of Medicine, İstanbul University-Cerrahpaşa, Istanbul, Turkey. gulinalkan@msn.com.
概括
免疫检查点抑制剂 (ICI) 治疗期间癌症迅速进展的超级进展性疾病 (HPD) 与显著更短的生存时间有关. 胃癌和较高的LDH水平等因素可能预测HPD的发展.
科学领域:
- 在瘤学瘤学.
- 免疫治疗是一种免疫疗法.
- 癌症的进展 癌症的进展
背景情况:
- 超渐进性疾病 (HPD) 是免疫检查点抑制剂 (ICI) 治疗的一个新出现的并发症.
- HPD的特点是瘤的快速生长和患者的生存率下降.
- 对于HPD的标准化定义和预测因素仍然不清楚.
研究的目的:
- 评估接受ICI治疗的患者中HPD的发生率.
- 评估HPD患者的治疗结果.
- 为了确定与HPD发展相关的临床病理因素.
主要方法:
- 用ICI治疗的晚期癌症患者 (2014-2021) 的回顾性分析.
- 在HPD定义中,使用了Lo Russo的标准,并结合了临床和放射学数据.
- 纳入通过RECIST 1.1标准评估瘤反应的患者.
主要成果:
- 在147名符合条件的患者中,有19名患者 (12.9%) 被诊断出患有HPD.
- 高血压患者的无进展生存时间 (1.5个月与9.8个月相比) 和整体生存时间 (3.0个月与23.1个月相比) 显著缩短.
- 胃癌,更大的基线病变直径,肝转移,升高的LDH和更高的中性粒细胞-淋巴细胞比率 (NLR) 与HPD有关.
结论:
- HPD是一种快速的临床现象,与糟糕的生存结果有关.
- 特定的临床病理因素和瘤特征可以表明HPD风险.
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