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- Title
Zimberelimab combined with systemic therapy extended tumor control in post‐radiotherapy cervical cancer with brain metastases: A case report.
- Authors
Ni, Bing‐Qiang; Pan, Ming‐Mei; He, Lian‐Xiang; Li, Ting
- Abstract
Out of the total cases of cervical cancer, brain metastases (BMs) are relatively rare, with an estimated incidence rate of 0.63% (range: 0.1%–2.2%). Additionally, BMs prognosis remains poor, and the average patient survival time following a BM diagnosis is 3 to 5 months. Few studies have addressed the effect of programmed cell death‐1 inhibitors against BMs in cervical cancer, although they are an established option for recurrent/metastatic disease. Hence, we report a case involving a 54‐year‐old post‐surgery patient with cervical cancer with a body mass index of 19.5 kg/m2 and Eastern Collaborative Oncology Group (ECOG) performance status of 3; the disease recurred with BMs 1 year later. Intensity‐modulated radiation therapy concurrent with temozolomide and bevacizumab was initiated, following which zimberelimab immunotherapy combined with anlotinib was administered to extend tumor control. The patient had a progression‐free survival duration of 10 months, the tumor response was assessed as a partial response based on the evaluation criteria for solid tumors (RECIST1.1), and the ECOG status improved to 1 after therapy. These findings suggest that immunotherapy‐based combination therapy following radiotherapy may be a good choice for patients with cervical cancer and BMs.
- Subjects
THERAPEUTIC use of monoclonal antibodies; CANCER relapse; CERVIX uteri tumors; BODY mass index; IMMUNOTHERAPY; SALPINGECTOMY; VAGINAL discharge; CERVICAL cancer; VAGINAL hysterectomy; BRAIN tumors
- Publication
Journal of Obstetrics & Gynaecology Research, 2024, Vol 50, Issue 4, p740
- ISSN
1341-8076
- Publication type
Article
- DOI
10.1111/jog.15887