[PEMBROLIZUMAB联合阿西替尼治疗部分肾切除术后转移性肾细胞癌的完全缓解:一例报告]。

Yasuhiro Hakamata, Kosuke Uchida, Taisho Noda, Shin Imai, Tatsuaki Yoneda, Shinya Kudoh
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引用次数: 0

摘要

本病例为一名62岁男性,诊断为转移性肾细胞癌。由于超声检查发现左肾肿块,他被转诊到我们科室。放射学检查显示左侧42毫米肾肿瘤伴多发性肺肿瘤,提示肾细胞癌cT1bN0M1(pul)。作为一种诱导疗法,我们选择了Pembrolizumab加Axitinib联合治疗。经过4个疗程的治疗,左肾肿瘤缩小到27毫米,肺转移灶在计算机断层扫描中消失。下一步,我们进行了腹腔镜肾部分切除术。病理诊断为透明细胞癌,2级,中心坏死。从那时起,在没有任何治疗的情况下,完全缓解持续了21个月。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[COMPLETE REMISSION OF METASTATIC RENAL CELL CARCINOMA AFTER PARTIAL NEPHRECTOMY FOLLOWING PEMBROLIZUMAB PLUS AXITINIB THERAPY: A CASE REPORT].

This case is a 62-year-old man diagnosed with metastatic renal cell carcinoma. He was referred to our department due to the left renal mass pointed with ultra sound examination. Radiographical examination showed left-side 42 mm renal tumor with multiple lung tumors, suggesting renal cell carcinoma, cT1bN0M1 (pul). As an induction therapy, we selected Pembrolizumab plus Axitinib combination therapy. After 4 course of the therapy, the left kidney tumor shrank to 27 mm, and the lung metastasis disappeared with computed tomography imaging. For the next step, we performed laparoscopic partial nephrectomy. The pathological diagnosis was clear cell carcinoma, grade 2 with central necrosis. Since then, complete remission has been maintained without any treatment for 21 months.

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