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  1. Dokkyo Medical Journal
  2. 2(2) 2023

Successful Treatment with Pembrolizumab of a Patient with Advanced Non-small Cell Lung Cancer Containing a Spindle Cell Carcinoma Component

https://dmu.repo.nii.ac.jp/records/2000050
https://dmu.repo.nii.ac.jp/records/2000050
efa57338-f9dd-4c06-be8d-b81a696c87cb
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DKMJ-2-1-10.pdf DKMJ-2-1-10.pdf (870 KB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Successful Treatment with Pembrolizumab of a Patient with Advanced Non-small Cell Lung Cancer Containing a Spindle Cell Carcinoma Component
言語 en
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 Non-small cell carcinoma
キーワード
言語 en
主題Scheme Other
主題 PD-L1
キーワード
言語 en
主題Scheme Other
主題 pembrolizumab
キーワード
言語 en
主題Scheme Other
主題 sarcomatoid carcinoma
キーワード
言語 en
主題Scheme Other
主題 spindle cell carcinoma
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Yazawa, Nana

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en Yazawa, Nana

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Niho, Seiji

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Kuninobu, Takuya

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Goto, Yuto

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Suzuki, Tomonari

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Nishimura, Noriaki

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Hara, Shohei

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Uchida, Nobuhiko

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Tei, Rinna

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Masawa, Meitetsu

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Kushima, Yoshitomo

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Nakamura, Yusuke

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Okutomi, Hiroaki

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Soda, Sayo

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Ikeda, Naoya

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Arai, Ryo

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Takemasa, Akihiro

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Shimizu, Yasuo

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Nakazato, Yoshimasa

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書誌情報 en : Dokkyo Medical Journal

巻 2, 号 2, p. 170-174, 発行日 2023-06-25
内容記述
内容記述タイプ Abstract
内容記述 Pulmonary sarcomatoid carcinoma accounts for 0.1%-0.5% of all lung cancers. It has an aggressive biological behavior and is often resistant to conventional chemotherapy and radiation therapy. An 84-year-old man presented with a painful mass in the left breast. Physical examination revealed two palpable subcutaneous nodules on the back. Computed tomography (CT) scan revealed a 4-cm mass in the upper lobe of the right lung and mediastinal lymphadenopathy. Positron emission tomography (PET) /CT scan revealed excessive FDG hyperaccumulation in the right pulmonary mass, left breast mass, subcutaneous nodules on the back, left second rib, and third thoracic vertebra. Histopathological examination of a needle biopsy specimen obtained from the breast mass revealed atypical spindle cell proliferation with numerous mitoses. Immunohistochemical examination revealed positive staining of the tumor cells for CAM 5.2, and the Ki-67 positive rate was 70%. The patient was diagnosed with non-small cell lung carcinoma containing a spindle-cell carcinoma component, cT4N2M1c, stage IVB. The PD-L1 (22C3) tumor proportion score was 90%. The patient received pembrolizumab 200 mg every three weeks with a partial response. He has continued to receive pembrolizumab for over one year. Further studies on a large number of patients are warranted to evaluate the efficacy of PD-1/PD-L1 inhibitor therapy for pulmonary sarcomatoid carcinoma.
言語 en
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ EISSN
収録物識別子 2436-522X
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA12941861
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.51040/dkmj.2022-054
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
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