Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient

Malignant Pleural Mesothelioma (MPM) is a highly invasive tumor that is linked to previous asbestos exposure. Combined multimodality treatment, i.e. induction chemotherapy followed by surgery, is standard of care in highly selected patients with localized disease. Platinum-doublet chemotherapy is th...

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Main Authors: M. Criel, A. Vandermeulen, K. Vanhove, C. Van De Kerkhove, K. Nackaerts, M. Lambrecht, P. Berkovic
Format: Article
Language:English
Published: Elsevier 2020-12-01
Series:Current Problems in Cancer: Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2666621920300351
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spelling doaj-b95aa7f7d04c4678bb45965359b7b9852021-09-03T04:48:08ZengElsevierCurrent Problems in Cancer: Case Reports2666-62192020-12-012100035Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patientM. Criel0A. Vandermeulen1K. Vanhove2C. Van De Kerkhove3K. Nackaerts4M. Lambrecht5P. Berkovic6Department of Respiratory Oncology, University Hospitals Leuven, Belgium; Department of Respiratory Oncology, Ziekenhuis Oost-Limburg Genk, Belgium; Corresponding author.Department of Radiation Oncology, University Hospitals Leuven, BelgiumDepartment of Respiratory Oncology, University Hospitals Leuven, BelgiumDepartment of Respiratory Oncology, University Hospitals Leuven, BelgiumDepartment of Respiratory Oncology, University Hospitals Leuven, BelgiumDepartment of Radiation Oncology, University Hospitals Leuven, BelgiumDepartment of Radiation Oncology, University Hospitals Leuven, BelgiumMalignant Pleural Mesothelioma (MPM) is a highly invasive tumor that is linked to previous asbestos exposure. Combined multimodality treatment, i.e. induction chemotherapy followed by surgery, is standard of care in highly selected patients with localized disease. Platinum-doublet chemotherapy is the first choice for inoperable or advanced disease. Currently, there are no good recommendations for second-line treatment due to the lack of a clear survival benefit. We report the case of an MPM patient that showed a remarkable response through the combination of immunotherapy and radiotherapy. This case illustrates that despite failure of single-agent checkpoint inhibition, the combination of immunotherapy and radiotherapy has the potential to overcome checkpoint-inhibitor resistance in MPM.http://www.sciencedirect.com/science/article/pii/S2666621920300351
collection DOAJ
language English
format Article
sources DOAJ
author M. Criel
A. Vandermeulen
K. Vanhove
C. Van De Kerkhove
K. Nackaerts
M. Lambrecht
P. Berkovic
spellingShingle M. Criel
A. Vandermeulen
K. Vanhove
C. Van De Kerkhove
K. Nackaerts
M. Lambrecht
P. Berkovic
Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
Current Problems in Cancer: Case Reports
author_facet M. Criel
A. Vandermeulen
K. Vanhove
C. Van De Kerkhove
K. Nackaerts
M. Lambrecht
P. Berkovic
author_sort M. Criel
title Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
title_short Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
title_full Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
title_fullStr Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
title_full_unstemmed Robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
title_sort robust disease control following sequential immunotherapy and radiotherapy in a malignant pleural mesothelioma patient
publisher Elsevier
series Current Problems in Cancer: Case Reports
issn 2666-6219
publishDate 2020-12-01
description Malignant Pleural Mesothelioma (MPM) is a highly invasive tumor that is linked to previous asbestos exposure. Combined multimodality treatment, i.e. induction chemotherapy followed by surgery, is standard of care in highly selected patients with localized disease. Platinum-doublet chemotherapy is the first choice for inoperable or advanced disease. Currently, there are no good recommendations for second-line treatment due to the lack of a clear survival benefit. We report the case of an MPM patient that showed a remarkable response through the combination of immunotherapy and radiotherapy. This case illustrates that despite failure of single-agent checkpoint inhibition, the combination of immunotherapy and radiotherapy has the potential to overcome checkpoint-inhibitor resistance in MPM.
url http://www.sciencedirect.com/science/article/pii/S2666621920300351
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