切换至 "中华医学电子期刊资源库"

中华肺部疾病杂志(电子版) ›› 2025, Vol. 18 ›› Issue (03) : 494 -496. doi: 10.3877/cma.j.issn.1674-6902.2025.03.030

病例报告

阿得贝利单抗治疗肺大细胞神经内分泌癌伴乳腺转移1例
王少军1, 黄丛秀2, 刘彩霞1,(), 苏乌云1   
  1. 1. 010050 呼和浩特,内蒙古医科大学附属医院肿瘤内科
    2. 010050 呼和浩特,内蒙古医科大学附属医院肿瘤放疗科
  • 收稿日期:2024-06-15 出版日期:2025-06-25
  • 通信作者: 刘彩霞
  • 基金资助:
    北京医学奖励基金会项目(YXJL-2020-0785-0353)内蒙古自然科学基金面上项目(2021SHZR1230)内蒙古医科大学青年项目(YKD2022QN023)

One case report: Adelebi single antibody used to treat large cell neuroendocrine carcinoma of the lung with breast metastasis

Shaojun Wang, Congxiu Huang, Caixia Liu(), Wuyun Su   

  • Received:2024-06-15 Published:2025-06-25
  • Corresponding author: Caixia Liu
引用本文:

王少军, 黄丛秀, 刘彩霞, 苏乌云. 阿得贝利单抗治疗肺大细胞神经内分泌癌伴乳腺转移1例[J/OL]. 中华肺部疾病杂志(电子版), 2025, 18(03): 494-496.

Shaojun Wang, Congxiu Huang, Caixia Liu, Wuyun Su. One case report: Adelebi single antibody used to treat large cell neuroendocrine carcinoma of the lung with breast metastasis[J/OL]. Chinese Journal of Lung Diseases(Electronic Edition), 2025, 18(03): 494-496.

图1 右肺、肝脏和乳腺肿物穿刺病理检查象(×200)。 图A为右肺穿刺病理:肿瘤细胞呈条索状,巢状增殖。 细胞核深染部分可见核仁,炎性纤维间质内见血管增殖,核分裂象>10(数值/2 mm2);图B 为肝脏穿刺病理:肿瘤细胞呈巢状增殖,细胞核异型明显,部分可见核仁,纤维间质内见血管增殖
图2 治疗前后肿瘤标志物变化
图3 治疗前后肿物影像学变化。 图A 为肺部CT 影像(肿块治疗前后大小56.83 mm vs. 27.19 mm);图B 为上腹部MRI 影像(肿块治疗前后大小29.04 mm vs.14.72 mm);图C为乳腺MRI 影像(肿块治疗前后大小36.51 mm vs. 26.88 mm)
1
Naidoo J,Santos-Zabala ML,Iyriboz T,et al. Large cell neuroendocrine carcinoma of the lung:Clinico-pathologic features,treatment,and outcomes[J]. Clin Lung Cancer,2016,17(5):e121-e129.
2
García-Yuste M,Matilla JM,Alvarez-Gago T,et al. Prognostic factors in neuroendocrine lung tumors:a spanish multicenter study.spanish multicenter study of neuroendocrine tumors of the lung of the spanish society of pneumonology and thoracic surgery (EMETNESEPAR)[J]. Ann Thorac Surg,2000,70(1):258-263.
3
Wang J,Zhou C,Yao W,et al. Adebrelimab or placebo plus carboplatin and etoposide as first-line treatment for extensive-stage small-cell lung cancer ( CAPSTONE-1 ):a multicentre,randomised,double-blind,placebo-controlled,phase 3 trial[J].Lancet Oncol,2022,23(6):739-747.
4
Lantuejoul S,Fernandez-Cuesta L,Damiola F,et al. New molecular classification of large cell neuroendocrine carcinoma and small cell lung carcinoma with potential therapeutic impacts[J]. Transl Lung Cancer Res,2020,9(5):2233-2244.
5
Fasano M,Della Corte CM,Papaccio F,et al. Pulmonary large-cell neuroendocrine carcinoma:From epidemiology to therapy[J]. J Thorac Oncol,2015,10(8):1133-1141.
6
Fabbri A,Cossa M,Sonzogni A,et al. Thymus neuroendocrine tumors with CTNNB1 gene mutations,disarrayed ß-catenin expression,and dual intra-tumor Ki-67 labeling index compartmentalization challenge the concept of secondary high-grade neuroendocrine tumor:a paradigm shift[J]. Virchows Arch,2017,471(1):31-47.
7
Hanna N,Johnson D,Temin S,et al. Systemic therapy for stage Ⅳnon-small-cell lung cancer:american society of clinical oncology clinical practice guideline update summary[J]. J Oncol Pract,2017,13(12):832-837.
8
中国临床肿瘤学会小细胞肺癌专家委员会,中国医师协会肿瘤多学科诊疗专业委员会. 小细胞肺癌免疫治疗专家共识(2025版)[J]. 中华肿瘤杂志,2025,47(1):65-75.
9
Le Treut J,Sault MC,Lena H,et al. Multicentre phase Ⅱstudy of cisplatin-etoposidechemotherapyforadvancedlarge-cell neuroendocrine lung carcinoma:the GFPC 0302 study[J]. Ann Oncol,2013,24(6):1548-1552.
10
Derks JL,van Suylen RJ,Thunnissen E,et al. Chemotherapy for pulmonary large cell neuroendocrine carcinomas:does the regimen matter? [J]. Eur Respir J,2017,49(6):1601838.
11
Zhang JT,Li Y,Yan LX,et al. Disparity in clinical outcomes between pure and combined pulmonary large-cell neuroendocrine carcinoma:A multi-center retrospective study[J]. Lung Cancer,2020,139:118-123.
12
Sun JM,Ahn MJ,Ahn JS,et al. Chemotherapy for pulmonary large cell neuroendocrine carcinoma:similar to that for small cell lung cancer or non-small cell lung cancer? [J]. Lung Cancer,2012,77(2):365-370.
13
Makino T,Mikami T,Hata Y,et al. Comprehensive biomarkers for personalized treatment in pulmonary large cell neuroendocrine carcinoma:a comparative analysis with adenocarcinoma[J]. Ann Thorac Surg,2016,102(5):1694-1701.
14
黄伟业,王千毓,何 娇,等.PD-L1 在肺大细胞神经内分泌癌中的表达和预后相关性及文献回顾[J]. 循证医学,2021,21(6):364-371.
15
Hermans BCM,Derks JL,Thunnissen E,et al. Prevalence and prognostic value of PD-L1 expression in molecular subtypes of metastatic large cell neuroendocrine carcinoma (LCNEC)[J]. Lung Cancer,2019,130:179-186.
16
Kim HS,Lee JH,Nam SJ,et al. Association of PD-L1 expression with tumor-infiltrating immune cells and mutation burden in highgrade neuroendocrine carcinoma of the lung[J]. J Thorac Oncol,2018,13(5):636-648.
17
Sherman S,Rotem O,Shochat T,et al. Efficacy of immune checkpoint inhibitors (ICPi) in large cell neuroendocrine tumors of lung(LCNEC)[J]. Lung Cancer,2020,143:40-46.
18
Dudnik E,Kareff S,Moskovitz M,et al. Real-world survival outcomes with immune checkpoint inhibitors in large-cell neuroendocrine tumors of lung[J]. J Immunother Cancer,2021,9(2):e001999.
19
Agar C,Geier M,Léveiller G,et al. Brief report on the efficacy of nivolumab in patients with previously treated advanced large-cell neuroendocrine cancer of the lung[J]. JTO Clin Res Rep,2020,2(4):100129.
20
Song L,Zhou F,Xu T,et al. Clinical activity of pembrolizumab with or without chemotherapy in advanced pulmonary large-cell and large-cell neuroendocrine carcinomas:a multicenter retrospective cohort study[J]. BMC Cancer,2023,23(1):443.
21
Shirasawa M,Yoshida T,Takayanagi D,et al. Activity and immune correlates of programmed death-1 blockade therapy in patients with advanced large cell neuroendocrine carcinoma [J]. Clin Lung Cancer,2021,22(4):282-291.e6.
22
Vrontis K,Economidou SC,Fotopoulos G. Platinum doublet plus atezolizumab as first-line treatment in metastatic large cell neuroendocrine carcinoma:a single institution experience [J].Cancer Invest,2022,40(2):124-131.
23
Komiya T,Ravindra N,Powell E. Role of immunotherapy in stageⅣlarge cell neuroendocrine carcinoma of the lung[J]. Asian Pac J Cancer Prev,2021,22(2):365-370.
24
谢明汛,龚明福,张 磊,等. 肺大细胞神经内分泌癌CT 表现及临床特征[J/CD]. 中华肺部疾病杂志(电子版),2022,15(2):171-175.
[1] 王祥柱, 马玥麟, 谢晓莉, 蒋海叶. 胰岛素样生长因子2结合蛋白2预测口腔癌预后的生信分析研究[J/OL]. 中华口腔医学研究杂志(电子版), 2025, 19(02): 84-95.
[2] 陈隆, 段晓鑫, 王思卓, 董胜利. 胃癌免疫治疗的现状[J/OL]. 中华普通外科学文献(电子版), 2025, 19(03): 177-182.
[3] 赵海涛. 进展期胆管癌治疗探索及展望[J/OL]. 中华普通外科学文献(电子版), 2025, 19(02): 110-110.
[4] 王乾宇, 杜峻峰, 李世拥. 新辅助放化疗联合免疫治疗局部进展期直肠癌的突破与挑战[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(02): 128-131.
[5] 姚宏伟, 孙丽婷, 吴偲, 舒文龙, 高加勒, 杨正阳, 吴国聪, 张忠涛. 新辅助放化疗联合免疫治疗局部进展期直肠癌的探索与实践[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(02): 123-127.
[6] 张忠涛, 高加勒, 姚宏伟. 新辅助放化疗联合免疫治疗局部进展期直肠癌的现状与前景[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(02): 119-122.
[7] 邱皓炜, 徐臻, 肖泽秀, 夏燕, 查高峰, 庞俊. 前列腺癌mRNA 疫苗研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 134-139.
[8] 刘咏博, 郭佳. 外泌体在前列腺癌细胞免疫逃逸中的研究进展[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2025, 19(02): 140-145.
[9] 喻星豪, 黄娜, 刘罡. 肺癌的靶向与免疫联合治疗的研究进展[J/OL]. 中华肺部疾病杂志(电子版), 2025, 18(02): 330-333.
[10] 陈博滔, 胡宽, 毛先海. 胆囊癌肿瘤微环境与系统治疗[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 203-208.
[11] 王重阳, 滑文文, 魏丽, 邱应和, 杨发才, 李函娟. 免疫治疗联合局部区域疗法治疗中晚期肝癌的研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(02): 302-307.
[12] 黄忠晶, 张丽东, 伍子奕, 艾军华. 不可切除肝细胞癌的转化治疗[J/OL]. 中华肝脏外科手术学电子杂志, 2025, 14(01): 41-45.
[13] 沈汶娟, 潘怡, 董林, 邹霜梅. 中国微卫星不稳定大肠癌患者临床病理特征分析[J/OL]. 中华结直肠疾病电子杂志, 2025, 14(03): 251-258.
[14] 刘玉奇, 李健, 仲捷, 李群, 常帅, 于春鹏. 微波消融同步肝动脉插管化疗栓塞联合靶免治疗大肝癌的临床疗效及安全性分析[J/OL]. 中华介入放射学电子杂志, 2025, 13(02): 110-116.
[15] 任千河, 杨苏苏, 于跃. 肺癌治疗中成纤维细胞作为靶点的研究进展与前景[J/OL]. 中华胸部外科电子杂志, 2025, 12(02): 105-111.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?