Advanced fumarate hydratase-deficient renal cell carcinoma responding to combination immune checkpoint inhibitors

被引:0
|
作者
Howells, Erin [1 ]
Wigston, Lucas [2 ]
Mackie, Gavin [1 ]
Tran, Ben [3 ]
Nott, Louise [4 ]
机构
[1] Royal Hobart Hosp, Hobart, Tas, Australia
[2] Flinders Univ S Australia, Adelaide, SA, Australia
[3] Peter Maallum Canc Ctr, Dept Med Oncol, Melbourne, Vic, Australia
[4] Icon Canc Ctr, Hobert, Tas, Australia
关键词
fumarate hydratase deficient renal cell carcinoma; ipilimumab and nivolumab; immunotherapy; checkpoint inhibitors; hereditary leiomyomatosis renal cell cancer syndrome;
D O I
暂无
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Fumarate hydratase deficient (FHdef) renal cell carcinoma ( RCC) is rare, highly aggressive and is believed to arise mostly in the setting of hereditary leiomyomatosis RCC ( HLRCC) syndrome with a germline mutation of fumarate hydratase (FH) gene. There is currently little evidence regarding the most effective systemic treatment for advanced FHdef RCC. We present three cases of metastatic FHdef RCC, all achieving tumor response with combination immunotherapy ipilimumab and nivolumab (Ipi/Nivo). A 50-year-old male, a 27-year-old male and a 48-year-old female. The clinical features, diagnosis and medical imaging are reviewed.
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页数:72
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