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10.1136/jitc-2020-001870

http://scihub22266oqcxt.onion/10.1136/jitc-2020-001870
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33574054!7880093!33574054
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suck abstract from ncbi


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pmid33574054      J+Immunother+Cancer 2021 ; 9 (2): ä
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  • COVID-19 lung injury as a primer for immune checkpoint inhibitors (ICIs)-related pneumonia in a patient affected by squamous head and neck carcinoma treated with PD-L1 blockade: a case report #MMPMID33574054
  • Dipasquale A; Persico P; Lorenzi E; Rahal D; Santoro A; Simonelli M
  • J Immunother Cancer 2021[Feb]; 9 (2): ä PMID33574054show ga
  • By the beginning of the global pandemic, SARS-CoV-2 infection has dramatically impacted on oncology daily practice. In the current oncological landscape, where immunotherapy has revolutionized the treatment of several malignancies, distinguishing between COVID-19 and immune-mediated pneumonitis can be hard because of shared clinical, radiological and pathological features. Indeed, their common mechanism of aberrant inflammation could lead to a mutual and amplifying interaction.We describe the case of a 65-year-old patient affected by metastatic squamous head and neck cancer and candidate to an experimental therapy including an anti-PD-L1 agent. COVID-19 ground-glass opacities under resolution were an incidental finding during screening procedures and worsened after starting immunotherapy. The diagnostic work-up was consistent with ICIs-related pneumonia and it is conceivable that lung injury by SARS-CoV-2 has acted as an inflammatory primer for the development of the immune-related adverse event.Patients recovered from COVID-19 starting ICIs could be at greater risk of recall immune-mediated pneumonitis. Nasopharyngeal swab and chest CT scan are recommended before starting immunotherapy. The awareness of the phenomenon could allow an easier interpretation of radiological changes under treatment and a faster diagnostic work-up to resume ICIs. In the presence of clinical benefit, for asymptomatic ICIs-related pneumonia a watchful-waiting approach and immunotherapy prosecution are suggested.
  • |Aged[MESH]
  • |B7-H1 Antigen/antagonists & inhibitors/immunology[MESH]
  • |COVID-19 Drug Treatment[MESH]
  • |COVID-19/*diagnosis/immunology/virology[MESH]
  • |Diagnosis, Differential[MESH]
  • |Humans[MESH]
  • |Immune Checkpoint Inhibitors/administration & dosage/adverse effects[MESH]
  • |Immunotherapy/adverse effects[MESH]
  • |Lung Injury/diagnosis/diagnostic imaging/pathology/virology[MESH]
  • |Lung Neoplasms/*diagnosis/drug therapy/secondary/virology[MESH]
  • |Male[MESH]
  • |Nasopharynx/metabolism/pathology[MESH]
  • |Neoplasm Metastasis[MESH]
  • |Pandemics[MESH]
  • |Pneumonia/*diagnosis/drug therapy/immunology/virology[MESH]
  • |SARS-CoV-2/pathogenicity[MESH]


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