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Nivolumab for malignant transformation of ovarian mature cystic teratoma

Mature cystic teratoma of the ovary (MCT) occasionally undergoes malignant transformation (MT) that is resistant to chemotherapy and has a poor prognosis. We experienced a case of clinically aggressive MCT-MT that invades surrounding organs and tissues. Although tumor was resected entirely, a rapid...

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Autores principales: Yoshimura, Kayoko, Yamanoi, Koji, Kanai, Masashi, Okunomiya, Asuka, Sagae, Yusuke, Sunada, Masumi, Taki, Mana, Ukita, Masayo, Chigusa, Yoshitsugu, Horie, Akihito, Yamaguchi, Ken, Hamanishi, Junzo, Minamiguchi, Sachiko, Yamamoto, Noboru, Muto, Manabu, Mandai, Masaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764164/
https://www.ncbi.nlm.nih.gov/pubmed/36560959
http://dx.doi.org/10.1016/j.gore.2022.101115
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author Yoshimura, Kayoko
Yamanoi, Koji
Kanai, Masashi
Okunomiya, Asuka
Sagae, Yusuke
Sunada, Masumi
Taki, Mana
Ukita, Masayo
Chigusa, Yoshitsugu
Horie, Akihito
Yamaguchi, Ken
Hamanishi, Junzo
Minamiguchi, Sachiko
Yamamoto, Noboru
Muto, Manabu
Mandai, Masaki
author_facet Yoshimura, Kayoko
Yamanoi, Koji
Kanai, Masashi
Okunomiya, Asuka
Sagae, Yusuke
Sunada, Masumi
Taki, Mana
Ukita, Masayo
Chigusa, Yoshitsugu
Horie, Akihito
Yamaguchi, Ken
Hamanishi, Junzo
Minamiguchi, Sachiko
Yamamoto, Noboru
Muto, Manabu
Mandai, Masaki
author_sort Yoshimura, Kayoko
collection PubMed
description Mature cystic teratoma of the ovary (MCT) occasionally undergoes malignant transformation (MT) that is resistant to chemotherapy and has a poor prognosis. We experienced a case of clinically aggressive MCT-MT that invades surrounding organs and tissues. Although tumor was resected entirely, a rapid tumor recurrence occurred during postoperative chemotherapy (paclitaxel + ifosfamide + cisplatin). The results of comprehensive genomic profiling test performed early in the postoperative period showed a high tumor mutational burden of 23 mutations/Mb. Treatment with nivolumab monotherapy has promptly been initiated and has been very successful for more than one year.
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spelling pubmed-97641642022-12-21 Nivolumab for malignant transformation of ovarian mature cystic teratoma Yoshimura, Kayoko Yamanoi, Koji Kanai, Masashi Okunomiya, Asuka Sagae, Yusuke Sunada, Masumi Taki, Mana Ukita, Masayo Chigusa, Yoshitsugu Horie, Akihito Yamaguchi, Ken Hamanishi, Junzo Minamiguchi, Sachiko Yamamoto, Noboru Muto, Manabu Mandai, Masaki Gynecol Oncol Rep Case Report Mature cystic teratoma of the ovary (MCT) occasionally undergoes malignant transformation (MT) that is resistant to chemotherapy and has a poor prognosis. We experienced a case of clinically aggressive MCT-MT that invades surrounding organs and tissues. Although tumor was resected entirely, a rapid tumor recurrence occurred during postoperative chemotherapy (paclitaxel + ifosfamide + cisplatin). The results of comprehensive genomic profiling test performed early in the postoperative period showed a high tumor mutational burden of 23 mutations/Mb. Treatment with nivolumab monotherapy has promptly been initiated and has been very successful for more than one year. Elsevier 2022-12-10 /pmc/articles/PMC9764164/ /pubmed/36560959 http://dx.doi.org/10.1016/j.gore.2022.101115 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Yoshimura, Kayoko
Yamanoi, Koji
Kanai, Masashi
Okunomiya, Asuka
Sagae, Yusuke
Sunada, Masumi
Taki, Mana
Ukita, Masayo
Chigusa, Yoshitsugu
Horie, Akihito
Yamaguchi, Ken
Hamanishi, Junzo
Minamiguchi, Sachiko
Yamamoto, Noboru
Muto, Manabu
Mandai, Masaki
Nivolumab for malignant transformation of ovarian mature cystic teratoma
title Nivolumab for malignant transformation of ovarian mature cystic teratoma
title_full Nivolumab for malignant transformation of ovarian mature cystic teratoma
title_fullStr Nivolumab for malignant transformation of ovarian mature cystic teratoma
title_full_unstemmed Nivolumab for malignant transformation of ovarian mature cystic teratoma
title_short Nivolumab for malignant transformation of ovarian mature cystic teratoma
title_sort nivolumab for malignant transformation of ovarian mature cystic teratoma
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9764164/
https://www.ncbi.nlm.nih.gov/pubmed/36560959
http://dx.doi.org/10.1016/j.gore.2022.101115
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