A Rare Case of Complete-Immunotherapy-Responsive Metastatic Non-Small Cell Lung Cancer with Long Lasting Progression-Free Survival: A Case Report

Author:

De Intinis Claudia1ORCID,Izzo Paolo1ORCID,Codacci-Pisanelli Massimo1,Izzo Luciano1ORCID,Messineo Daniela2ORCID,Sibio Simone1ORCID,Campagnol Monica1,Lai Silvia3ORCID,Molle Marcello4ORCID,Izzo Sara4

Affiliation:

1. Department of Surgery “Pietro Valdoni”, Policlinico “Umberto I”, “Sapienza” University of Rome, Viale del Policlinico 155, 00161 Rome, Italy

2. Department of Radiological Sciences, Oncology and Anatomo-Pathological Science, “Sapienza” University of Rome, Viale dell’Universitá 31/33, 00161 Rome, Italy

3. Department of Translational and Precision Medicine, Nephrology Unit, “Sapienza” University of Rome, Viale dell’Universitá 31/33, 00161 Rome, Italy

4. Multidisciplinary Department of Medical-Surgical and Dental Specialties, Plastic Surgery Unit, Università degli Studi della Campania “Luigi Vanvitelli”, Piazza Luigi Miraglia 1, 80138 Naples, Italy

Abstract

Background and introduction: Lung cancer is a prevalent and deadly disease globally. Non-small cell lung cancer (NSCLC) is the most common subtype, comprising 85% of cases. Case report: A 65-year-old male ex-smoker presented to our facility with a nocturnal cough. Various investigations revealed that he had metastatic NSCLC, for which he underwent chemotherapy with cisplatin and gemcitabine, followed by immunotherapy with Nivolumab. He achieved a complete response to the therapy and has remained free from recurrence for over 7 years since the initial diagnosis. Discussion and Conclusions: The treatment of metastatic NSCLC remains a significant therapeutic challenge, but the implementation of new therapeutic techniques has expanded the possibilities of achieving complete and durable eradication of the disease.

Publisher

MDPI AG

Reference36 articles.

1. World Health Organization (2023, June 06). Lung Cancer. Available online: http://globocan.iarc.fr/Pages/fact_sheets_cancer.aspx.

2. Lung Cancer 2020: Epidemiology, Etiology, and Prevention;Bade;Clin. Chest Med.,2020

3. Office of the Surgeon General, U.S. (1972). Public Health Service. The Health Consequences of Smoking, 72-7516 PNH; National Clearinghouse for Smoking Health.

4. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries;Bray;CA Cancer J. Clin.,2018

5. Quantitative Health Risk Assessment of Indoor Radon: A Systematic Review;Ajrouche;Radiat. Prot. Dosim.,2017

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