Response of metastatic mucosal melanoma to immunotherapy: it can get worse before it gets better
Journal of Oncology Pharmacy Practice, 2017•journals.sagepub.com
Immune therapy with checkpoint inhibitors has revolutionized the management of metastatic
melanoma. Ipilimumab, nivolumab, and pembrolizumab are all FDA-approved immune
checkpoint inhibitors to treat metastatic melanoma. Responses to immune checkpoint
inhibitors are usually delayed. An interim progression on restaging computed tomography
scans “pseudo-progression” may be observed before response to treatment occur. In this
case, we report a significant interim progression of metastatic mucosal melanoma before …
melanoma. Ipilimumab, nivolumab, and pembrolizumab are all FDA-approved immune
checkpoint inhibitors to treat metastatic melanoma. Responses to immune checkpoint
inhibitors are usually delayed. An interim progression on restaging computed tomography
scans “pseudo-progression” may be observed before response to treatment occur. In this
case, we report a significant interim progression of metastatic mucosal melanoma before …
Immune therapy with checkpoint inhibitors has revolutionized the management of metastatic melanoma. Ipilimumab, nivolumab, and pembrolizumab are all FDA-approved immune checkpoint inhibitors to treat metastatic melanoma. Responses to immune checkpoint inhibitors are usually delayed. An interim progression on restaging computed tomography scans “pseudo-progression” may be observed before response to treatment occur. In this case, we report a significant interim progression of metastatic mucosal melanoma before meaningful responses to immunotherapy occurred. The patient developed significant immune therapy-related colitis and new onset vitiligo. Further restaging computed tomography scans showed sustained tumor response despite stopping the immune therapy.
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