Planned Abscopal Effect with Concurrent Pembrolizumab and Ablative Radiotherapy to Pulmonary Metastasis: A Case Report and Review of the Literature.

Bibliographic Details
Title: Planned Abscopal Effect with Concurrent Pembrolizumab and Ablative Radiotherapy to Pulmonary Metastasis: A Case Report and Review of the Literature.
Authors: Lee, Yu-Ting, Chen, Chien-Chin, Chao, Hsiya, Chang, Chih-Chia, Lee, Cheng-Yen
Source: Current Oncology; Dec2024, Vol. 31 Issue 12, p7787-7792, 6p
Subject Terms: IMMUNE checkpoint inhibitors, DISEASE remission, LUNG tumors, BLADDER cancer, METASTASIS
Abstract: Most abscopal effects are reported as sporadic and unpredictable events following radiotherapy at symptomatic sites. Herein, we report a case in which a planned abscopal effect was induced following deliberate radiotherapy and concurrent systemic immunotherapy. A 53-year-old man with a combined positive score ≥10 developed extensive metastatic bladder cancer after progressing on conventional chemotherapy. Extensive metastases were identified in his liver, lungs, and bones. He later had four cycles of single-agent pembrolizumab and planned hypofractionated radiotherapy at an ablative dose to selected metastatic lung tumors and developed complete remission of disease even when pembrolizumab was discontinued. This is a clear demonstration that the abscopal effect could be harnessed in a systematic manner with a combined positive score and aggressive local radiotherapy. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
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ISSN:11980052
DOI:10.3390/curroncol31120573
Published in:Current Oncology
Language:English