Onkologie. 2023:17(1):70-71 | DOI: 10.36290/xon.2023.016

Clear-cell renal cell carcinoma with sarcomatoid dedifferentiation treated with immunotherapy

Andrea Ondrušková, Hana Študentová, Anežka Zemánková
Onkologická klinika, Fakultní nemocnice Olomouc

Sarcomatoid renal cell carcinoma occurs rarely. It is characterized by a very poor prognosis and a low response to treatment with tyrosine kinase inhibitors. Combination of the checkpoint inhibitors ipilimumab and nivolumab is becoming a new standard of treatment. The case report presents a patient with clear-cell renal cell carcinoma with sarcomatoid dedifferentiation that was already generalized at presentation and had a poor prognosis. The patient was treated with the combination of ipilimumab and nivolumab, resulting in a good clinical response, a radiological response in the form of disease stabilization, and a survival of more than two years.

Keywords: renal cell carcinoma, sarcomatoid dedifferentiation, immunotherapy, checkpoint inhibitors.

Accepted: February 22, 2023; Published: March 1, 2023  Show citation

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Ondrušková A, Študentová H, Zemánková A. Clear-cell renal cell carcinoma with sarcomatoid dedifferentiation treated with immunotherapy. Onkologie. 2023;17(1):70-71. doi: 10.36290/xon.2023.016.
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References

  1. Sung H, Ferlay J, Siegel RL, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J. Clin. 2021;71:209-249. Go to original source... Go to PubMed...
  2. Moch H, Cubilla AL, Humphrey PA, et al. The 2016 WHO Classification of Tumours of the Urinary System and Male Genital Organs-Part A: Renal, Penile, and Testicular Tumours. Eur. Urol. 2016;70:93-105. Go to original source... Go to PubMed...
  3. Kawakami F, Sircar K, Rodriguez-Canales J, et al. Programmed cell death ligand 1 and tumor-infiltrating lymphocyte status in patients with renal cell carcinoma and sarcomatoid dedifferentiation. Cancer. 2017;123:4823-4831. Go to original source... Go to PubMed...
  4. Gupta S, Cheville JC, Jungbluth AA, et al. JAK2/PD-L1/PD-L2 (9p24.1) amplifications in renal cell carcinomas with sarcomatoid transformation: Implications for clinical management. Mod. Pathol. 2019;32:1344-1358. Go to original source... Go to PubMed...
  5. Tannir NM, Signoretti S, Choueiri TK, et al. Efficacy and Safety of Nivolumab Plus Ipilimumab versus Sunitinib in First-line Treatment of Patients with Advanced Sarcomatoid Renal Cell Carcinoma. Clin. Cancer Res. 2021;27:78-86. Go to original source... Go to PubMed...
  6. Motzer RJ, Nizar M. Tannir DF, et al. Nivolumab plus Ipilimumab versus Sunitinib in Advanced Renal-Cell Carcinoma. New England Journal of Medicine [online]. 2018;378(14):1277-1290 [cit. 2022-11-20]. Available from: doi:10.1056/NEJMoa1712126. Go to original source... Go to PubMed...
  7. Iacovelli R, Ciccarese C, Bria E, et al. Patients with sarcomatoid renal cell carcinoma-Re-defining the first-line of treatment: A meta-analysis of randomised clinical trials with immune checkpoint inhibitors. Eur. J. Cancer. 2020;136:195-203. Go to original source... Go to PubMed...




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