胸壁的质瘤转移到肺部
Joshua A Engle1, James T Dibb1, Soumajit Kundu1
1Department of Medicine, Summa Health, Akron, USA.
Cureus
|October 14, 2024
概括
恶性眼球瘤是罕见的. 这项案例研究表明,使用放射和免疫疗法 (pembrolizumab) 成功治疗转移的胸壁瘤,为罕见癌症管理提供了希望.
科学领域:
- 在瘤学瘤学.
- 罕见的癌症 罕见的癌症
- 医疗成像医学成像
背景情况:
- 脑膜瘤通常是良性的软组织瘤,很少是恶性的.
- 恶性囊瘤的发病原因不明,治疗选择不清楚,预后不确定.
- 转移性大脑瘤是非常罕见的,使得临床过程的预测很困难.
研究的目的:
- 为了呈现一种罕见的恶性囊瘤病例与转移.
- 探索对攻击性,转移性大脑瘤的治疗策略.
- 评估新辅助辐射和免疫治疗在治疗这种罕见疾病中的有效性.
主要方法:
- 一个67岁的女性病例报告,患有胸壁质瘤和肺转移.
- 治疗包括新辅助性辐射疗法,其次是用 pembrolizumab 进行免疫疗法.
- 通过成像和临床评估监测疾病进展.
主要成果:
- 最初的放射治疗导致疾病回归.
- 七个月的免疫疗法导致了所有肺结节的解决.
- 由于不良事件,Pembrolizumab的治疗已停止;患者仍在监测中.
结论:
- 辐射和免疫疗法 (pembrolizumab) 的结合显示出在手术不可行时,对转移性大脑瘤的管理有潜力.
- 基因分析,例如高瘤突变负担,可以指导罕见癌症的治疗决策.
- 对恶性囊瘤病例的进一步记录对于积累数据至关重要,以指导未来的治疗方案.
更多相关视频
07:44Practical Considerations in Studying Metastatic Lung Colonization in Osteosarcoma Using the Pulmonary Metastasis Assay
Published on: March 12, 2018
10.1K
07:50Utilization of Ultrasound Guided Tissue-directed Cellular Implantation for the Establishment of Biologically Relevant Metastatic Tumor Xenografts
Published on: May 25, 2018
8.2K
相关概念视频
Radiological Investigation III: Pulmonary Angiogram and PET Scan
86
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
86
Metastasis
5.5K
Metastasis is the spread of cancer cells from the original site to distant locations in the body. Cancer cells can spread via blood vessels (hematogenous) as well as lymph vessels in the body.
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
Epithelial-to-Mesenchymal Transition
The epithelial-to-mesenchymal transition or EMT is a developmental process commonly observed in wound healing, embryogenesis, and cancer metastasis. EMT is induced by transforming growth factor-beta (TGF-β) or receptor tyrosine kinase (RTK) ligands, which further...
5.5K
