Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report

Abstract Background The abscopal effect was described as early as the 1950s, when untreated tumors demonstrated a response after radiation therapy was delivered to an untreated, distant site. The mechanisms underlying this global response to otherwise localized therapy remain unknown, though there i...

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Main Authors: Samuel A. Kareff, Jonathan W. Lischalk, Rebecca Krochmal, Chul Kim
Format: Article
Language:English
Published: BMC 2020-10-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13256-020-02512-8
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author Samuel A. Kareff
Jonathan W. Lischalk
Rebecca Krochmal
Chul Kim
author_facet Samuel A. Kareff
Jonathan W. Lischalk
Rebecca Krochmal
Chul Kim
author_sort Samuel A. Kareff
collection DOAJ
description Abstract Background The abscopal effect was described as early as the 1950s, when untreated tumors demonstrated a response after radiation therapy was delivered to an untreated, distant site. The mechanisms underlying this global response to otherwise localized therapy remain unknown, though there is increasing evidence that increased antigen expression following ablative radiotherapy may play a role. Case presentation We report a case of a 69-year-old African American woman with a history of metastatic typical pulmonary carcinoid with multiple lung nodules who had a significant decrease in size of an untreated left upper lobe nodule after stereotactic body radiation therapy to an oligoprogressive left lower lobe lesion. Conclusions To our knowledge, this report describes the first case of an abscopal effect in a typical pulmonary carcinoid. Further research is needed regarding the mechanisms responsible for this finding and the role of combining radiation therapy and cancer immunotherapy in patients with pulmonary carcinoid tumors.
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spelling doaj.art-f48264b05a2948fca9ee84b26c8340ce2022-12-21T23:00:30ZengBMCJournal of Medical Case Reports1752-19472020-10-011411410.1186/s13256-020-02512-8Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case reportSamuel A. Kareff0Jonathan W. Lischalk1Rebecca Krochmal2Chul Kim3Department of Graduate Medical Education, MedStar Georgetown University HospitalDepartment of Radiation Medicine, MedStar Georgetown University HospitalDepartment of Pulmonology and Critical Care Medicine, MedStar Georgetown University HospitalGeorgetown Lombardi Comprehensive Cancer Center, MedStar Georgetown University HospitalAbstract Background The abscopal effect was described as early as the 1950s, when untreated tumors demonstrated a response after radiation therapy was delivered to an untreated, distant site. The mechanisms underlying this global response to otherwise localized therapy remain unknown, though there is increasing evidence that increased antigen expression following ablative radiotherapy may play a role. Case presentation We report a case of a 69-year-old African American woman with a history of metastatic typical pulmonary carcinoid with multiple lung nodules who had a significant decrease in size of an untreated left upper lobe nodule after stereotactic body radiation therapy to an oligoprogressive left lower lobe lesion. Conclusions To our knowledge, this report describes the first case of an abscopal effect in a typical pulmonary carcinoid. Further research is needed regarding the mechanisms responsible for this finding and the role of combining radiation therapy and cancer immunotherapy in patients with pulmonary carcinoid tumors.http://link.springer.com/article/10.1186/s13256-020-02512-8Abscopal effectNeuroendocrine tumorPulmonary carcinoid
spellingShingle Samuel A. Kareff
Jonathan W. Lischalk
Rebecca Krochmal
Chul Kim
Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report
Journal of Medical Case Reports
Abscopal effect
Neuroendocrine tumor
Pulmonary carcinoid
title Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report
title_full Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report
title_fullStr Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report
title_full_unstemmed Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report
title_short Abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy: a case report
title_sort abscopal effect in pulmonary carcinoid tumor following ablative stereotactic body radiation therapy a case report
topic Abscopal effect
Neuroendocrine tumor
Pulmonary carcinoid
url http://link.springer.com/article/10.1186/s13256-020-02512-8
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AT rebeccakrochmal abscopaleffectinpulmonarycarcinoidtumorfollowingablativestereotacticbodyradiationtherapyacasereport
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