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滑膜肉瘤患者在接受 MAGE A4 过继细胞治疗前进行淋巴细胞清除后发生 EB 病毒阳性淋巴增殖性疾病:一例病例报告

英文原题:Epstein Barr Virus-Positive Lymphoproliferative Disorder Following Lymphodepletion for MAGE A4 Adoptive Cellular Therapy in a Patient with Synovial Sarcoma: A Case Report.

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Epstein Barr Virus-Positive Lymphoproliferative Disorder Following Lymphodepletion for MAGE A4 Adoptive Cellular Therapy in a Patient with Synovial Sarcoma: A Case Report.

PubMed 2023/09/12(内容时间) Case Rep Oncol Q4 · IF 0.7(JCR 2025)

分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。

中文摘要

与病毒再激活相关的淋巴增殖性疾病(LPD)是免疫功能低下患者已知的风险。随着利用淋巴细胞清除方案的晚期癌症新型细胞疗法的发展,LPD的风险应予以考虑。在此,我们报告一例61岁男性患者,有转移性滑膜肉瘤病史并接受过多线治疗,在临床研究中接受细胞疗法(淋巴细胞清除性化疗和afami-cel,原为ADP-A2M4,T细胞治疗)后发生了Epstein Barr病毒阳性LPD。患者接受rituximab治疗并获得完全缓解。新型细胞疗法为患者提供了有前景的治疗选择,应仔细监测不良事件。

展开英文摘要原文

Lymphoproliferative disorder (LPD) associated with viral reactivation is a known risk of immunocompromised patients. With development of novel cellular therapies utilizing lymphodepletion regimens in advanced cancer, the risk of LPDs should be a consideration.

Here, we report a case of a 61-year-old treated male with history of metastatic synovial sarcoma and multiple treatment lines treated with cell therapy (lymphodepleting chemotherapy and afami-cel, formerly ADP-A2M4, T-cell treatment) on clinical study that developed Epstein Barr virus-positive LPD. Patient was treated with rituximab and achieved a complete response. New cellular therapies present promising treatment options for patients and adverse events should be monitored carefully.

论文信息

作者
Zhou M、Jawed G、Ganjoo KN
单位
Department of Medicine (Oncology), Stanford University School of Medicine, Stanford, CA, USA.United States
文献类型
病例报告
期刊
Case reports in oncology2023 Jan-Dec
原文标识
PubMed 37900845 · DOI 10.1159/000533129