Nagai Hisashi
Human and Environmental Studies, Tokai University, Kanagawa, JPN.
Oncology, Ginza Phoenix Clinic, Tokyo, JPN.
Cureus. 2024 Mar 28;16(3):e57144. doi: 10.7759/cureus.57144. eCollection 2024 Mar.
Among cervical cancers, small cell undifferentiated carcinoma is rare. Because of its rapid progression, the prognosis is extremely poor. During the course of cisplatin-based chemotherapy for stage Ⅳ small cell undifferentiated carcinoma of the cervix, the patient developed drug resistance, and standard treatment was no longer feasible. Therefore, immunoradiotherapy was administered to activate anticancer immunity. Surprisingly, the cancer drug sensitivity was restored, and cisplatin was again successful, and the cancer disappeared. In addition, the activation of cancer-specific immunity maintained the disappearance of the cancer. It should be noted that immunoradiotherapy not only increases anti-cancer immunity but may also contribute to overcoming cancer drug resistance.
在宫颈癌中,小细胞未分化癌较为罕见。由于其进展迅速,预后极差。在对一名Ⅳ期宫颈小细胞未分化癌患者进行以顺铂为基础的化疗过程中,患者出现了耐药性,标准治疗不再可行。因此,给予免疫放疗以激活抗癌免疫。令人惊讶的是,癌症药物敏感性得以恢复,顺铂再次取得成功,癌症消失。此外,癌症特异性免疫的激活维持了癌症的消失。应当注意的是,免疫放疗不仅能增强抗癌免疫,还可能有助于克服癌症耐药性。