Onkologie. 2024:18(3):220-222 | DOI: 10.36290/xon.2024.042

Pembrolizumab in the treatment of non-small-cell lung cancer with renal metastases

Simona Marušáková
Komplexní onkologické centrum Pardubického kraje, Pardubice

Non-small cell lung cancer (NSCLC) has shown a decline in incidence and mortality in the Czech Republic. However, over half of new cases are still diagnosed at the stage four. The renal parenchyma is rare metastatic site. Renal metastases are often asymptomatic and typically an incidental finding on imaging studies. This case report focuses on a patient with NSCLC and renal metastases treated with pembrolizumab. The efficacy of pembrolizumab has been confirmed in the KEYNOTE-024 trial in patients with NSCLC and high PD-L1 (programmed death-ligand 1) expression. Pembrolizumab has been available for this indication in the Czech Republic since 2019. This case underscores the significant role of immunotherapy in the treatment of NSCLC and emphasizes the importance of a multidisciplinary approach to treatment and monitoring of immunotherapy-related side effects.

Keywords: NSCLC, pembrolizumab, PD-L1, renal metastases.

Accepted: June 18, 2024; Published: June 24, 2024  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Marušáková S. Pembrolizumab in the treatment of non-small-cell lung cancer with renal metastases. Onkologie. 2024;18(3):220-222. doi: 10.36290/xon.2024.042.
Download citation

References

  1. SVOD. [Internet]. Available from: https://svod.cz/.
  2. Scatena C, Comin CE, Lapini A, et al. Renal metastasis from pulmonary adenocarcinoma: the pathologist's approach to an uncommon finding: case report and review of the literature. Appl Immunohistochem Mol Morphol. 2013;21(5):460-463. doi: 10.1097/PAI.0b013e31827101b1. PMID: 23060303. Go to original source... Go to PubMed...
  3. Wang J, Wang L, Long L, et al. Solitary renal metastasis from squamous cell carcinoma of the lung: a case report. Medicine (Baltimore). 2019;98(5):e14310. doi: 10.1097/MD. 0000000000014310. PMID: 30702606; PMCID: PMC6380867. Go to original source... Go to PubMed...
  4. Zhou C, Urbauer DL, Fellman BM, et al. Metastases to the kidney: a comprehensive analysis of 151 patients from a tertiary referral centre. BJU Int. 2016;117(5):775-782. doi: 10.1111/bju.13194. Epub 2015 Jul 5. PMID: 26053895; PMCID: PMC4670601. Go to original source... Go to PubMed...
  5. Flynn JP. Gerriets V. Pembrolizumab. 2019. Available from: https://www.ncbi.nlm.nih.gov/books/NBK546616/#article-58888.s3.
  6. Reck M, Rodríguez-Abreu D, Robinson AG, et al. Pembrolizumab versus Chemotherapy for PD-L1-Positive Non-Small-Cell Lung Cancer. N Engl J Med. 2016;375(19):1823-1833. doi: 10.1056/NEJMoa1606774. Epub 2016 Oct 8. PMID: 27718847. Go to original source... Go to PubMed...
  7. Reck M, Rodríguez-Abreu D, Robinson AG, et al. Updated Analysis of KEYNOTE-024: Pembrolizumab Versus Platinum-Based Chemotherapy for Advanced Non-Small-Cell Lung Cancer With PD-L1 Tumor Proportion Score of 50% or Greater. J Clin Oncol. 2019;37(7):537-546. doi: 10.1200/JCO.18.00149. Epub 2019 Jan 8. PMID: 30620668. Go to original source... Go to PubMed...
  8. Romão R, Mendes AS, Ranchor R, et al. Impact of Immune-Related Adverse Events on Immune Checkpoint Inhibitors Treated Cancer Patients' Survival: Single Center Experience and Literature Review. Cancers (Basel). 2023;15(3):888. doi: 10.3390/cancers15030888. PMID: 36765845; PMCID: PMC9913676. Go to original source... Go to PubMed...
  9. Pagkopoulou E, Simopoulou T, Maragkouli E, et al. Arthritis and Myositis in a Patient Treated with Programmed Cell Death-1 (PD-1) Inhibitor Pembrolizumab for Lung Cancer. Mediterr J Rheumatol. 2020;31(3):355-357. doi: 10.31138/mjr.31.3.355. PMID: 33163870; PMCID: PMC7641028. Go to original source... Go to PubMed...




Oncology

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.