Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature

Immune checkpoint inhibitors have emerged as a novel treatment in a wide variety of malignancies; however, it is associated with a distinctive array of side effects known as immune-related adverse events. Hyperprogression is defined as an accelerated growth of disease burden in patients treated with...

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Main Authors: Balraj Singh MD, Parminder Kaur MD, Michael Maroules MD
Format: Article
Language:English
Published: SAGE Publishing 2021-03-01
Series:Journal of Investigative Medicine High Impact Case Reports
Online Access:https://doi.org/10.1177/2324709621992207
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author Balraj Singh MD
Parminder Kaur MD
Michael Maroules MD
author_facet Balraj Singh MD
Parminder Kaur MD
Michael Maroules MD
author_sort Balraj Singh MD
collection DOAJ
description Immune checkpoint inhibitors have emerged as a novel treatment in a wide variety of malignancies; however, it is associated with a distinctive array of side effects known as immune-related adverse events. Hyperprogression is defined as an accelerated growth of disease burden in patients treated with immunotherapy. Limited literature is available regarding hyperprogression in hepatocellular cancer. We report a case of a 36-year-old male with no past medical history who presented with nausea, vomiting, and abdominal pain and was diagnosed with unresectable hepatocellular cancer and thereby started on atezolizumab and bevacizumab. The patient got only 1 cycle of treatment and unfortunately had hyperprogression of disease.
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spelling doaj.art-82c558833cf343518c44aa41b9d50c162022-12-21T22:20:43ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962021-03-01910.1177/2324709621992207Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of LiteratureBalraj Singh MD0Parminder Kaur MD1Michael Maroules MD2Saint Joseph’s University Medical Center, Paterson, NJ, USASaint Joseph’s University Medical Center, Paterson, NJ, USASaint Joseph’s University Medical Center, Paterson, NJ, USAImmune checkpoint inhibitors have emerged as a novel treatment in a wide variety of malignancies; however, it is associated with a distinctive array of side effects known as immune-related adverse events. Hyperprogression is defined as an accelerated growth of disease burden in patients treated with immunotherapy. Limited literature is available regarding hyperprogression in hepatocellular cancer. We report a case of a 36-year-old male with no past medical history who presented with nausea, vomiting, and abdominal pain and was diagnosed with unresectable hepatocellular cancer and thereby started on atezolizumab and bevacizumab. The patient got only 1 cycle of treatment and unfortunately had hyperprogression of disease.https://doi.org/10.1177/2324709621992207
spellingShingle Balraj Singh MD
Parminder Kaur MD
Michael Maroules MD
Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature
Journal of Investigative Medicine High Impact Case Reports
title Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature
title_full Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature
title_fullStr Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature
title_full_unstemmed Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature
title_short Hyperprogression in a Patient With Hepatocellular Cancer Treated With Atezolizumab and Bevacizumab: A Case Report and Review of Literature
title_sort hyperprogression in a patient with hepatocellular cancer treated with atezolizumab and bevacizumab a case report and review of literature
url https://doi.org/10.1177/2324709621992207
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