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Case Reports
. 2019 Aug 29;5(9):763-766.
doi: 10.1016/j.jdcr.2019.06.026. eCollection 2019 Sep.

Concurrent radiation therapy with programmed cell death protein 1 inhibition leads to a complete response in advanced cutaneous squamous cell carcinoma

Affiliations
Case Reports

Concurrent radiation therapy with programmed cell death protein 1 inhibition leads to a complete response in advanced cutaneous squamous cell carcinoma

Poorva Vaidya et al. JAAD Case Rep. .
No abstract available

Keywords: CSCC, cutaneous squamous cell carcinoma; PD-1 inhibition; PD-1, programmed cell death protein 1; PD-L1, programmed death ligand 1; PD-L2, programmed death ligand 2; cemiplimab; cutaneous squamous cell carcinoma; immunotherapy; pembrolizumab; radiation.

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Figures

Fig 1
Fig 1
A and B, Hematoxylin-eosin–stained sections show poorly differentiated carcinoma arranged in sheets and associated with scarring. The poorly differentiated areas stain with cytokeratin 5/6 and p40 immunohistochemical stains, which confirm a squamous origin.
Fig 2
Fig 2
The patient's lesion in June 2017, 3 weeks after completing radiation therapy 66 Gy in 33 fractions and receiving 2 cycles of pembrolizumab.
Fig 3
Fig 3
Radiation plan. The red line shows the 66-Gy isodose line. The red colorwash shows the clinical tumor volume (gross disease +2-cm lateral margin). The blue colorwash shows the planning tumor volume, expanded 5 mm from the clinical tumor volume.
Fig 4
Fig 4
Complete regression of the patient's lesion in May 2018, after radiation and 16 cycles of pembrolizumab.

References

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