Article ; Online: Whole brain radiation therapy resulting in radionecrosis: a possible link with radiosensitising chemoimmunotherapy.
BMJ case reports
2023 Volume 16, Issue 11
Abstract: Radionecrosis describes a rare but serious complication of radiation therapy. In clinical practice, stereotactic radiosurgery (SRS) is increasingly used in combination with systemic therapy, including chemotherapy, immune checkpoint inhibitor and ... ...
Abstract | Radionecrosis describes a rare but serious complication of radiation therapy. In clinical practice, stereotactic radiosurgery (SRS) is increasingly used in combination with systemic therapy, including chemotherapy, immune checkpoint inhibitor and targeted therapy, either concurrently or sequentially. There is a paucity of literature regarding radionecrosis in patients receiving whole brain radiation therapy (WBRT) alone (without additional SRS) in combination with immunotherapy or targeted therapies. It is observed that certain combinations increase the overall radiosensitivity of the tumorous lesions. We present a rare case of symptomatic radionecrosis almost 1 year after WBRT in a patient with non-squamous non-small cell lung cancer on third-line chemoimmunotherapy. We discuss available research regarding factors that may lead to radionecrosis in these patients, including molecular and genetic profiles, specific drug therapy combinations and their timing or increased overall survival. |
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MeSH term(s) | Humans ; Carcinoma, Non-Small-Cell Lung/radiotherapy ; Lung Neoplasms/radiotherapy ; Lung Neoplasms/etiology ; Brain Neoplasms/radiotherapy ; Brain Neoplasms/surgery ; Radiosurgery/adverse effects ; Radiosurgery/methods ; Immunotherapy/adverse effects ; Brain/diagnostic imaging ; Brain/pathology ; Cranial Irradiation/adverse effects ; Cranial Irradiation/methods |
Language | English |
Publishing date | 2023-11-28 |
Publishing country | England |
Document type | Case Reports ; Journal Article |
ISSN | 1757-790X |
ISSN (online) | 1757-790X |
DOI | 10.1136/bcr-2023-256758 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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