Title Early radiation-induced sarcoma in an adolescent treated for relapsed Hodgkin lymphoma with Nivolumab /
Authors Šalaševičius, Lukas ; Vaitkevičienė, Goda Elizabeta ; Pasaulienė, Ramunė ; Kiudelienė, Rosita ; Ivanauskaitė-Didžiokienė, Ernesta ; Vajauskas, Donatas ; Jurkienė, Nemira ; Rascon, Jelena
DOI 10.3390/medicina56040155
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Is Part of Medicina.. Kaunas ; Basel : LSMU ; MDPI. 2020, vol. 56, no. 4, art. no. 155, p. 1-7.. ISSN 1010-660X. eISSN 1648-9144
Keywords [eng] Hodgkin lymphoma ; Post-radiation sarcoma ; Nivolumab ; Children ; Obesity
Abstract [eng] Radiation-induced sarcoma (RIS) has been reported as a late secondary malignancy following radiotherapy for various types of cancer with a median latency of 10 years. We describe an early RIS that developed in an adolescent within three years of treatment (including PD-L1 check-point inhibitor Nivolumab) of a relapsed classic Hodgkin lymphoma (HL) and was diagnosed post-mortem. The patient died of the progressive RIS that was misleadingly assumed to be a resistant HL based on the positive PET/CT scan. Repetitive tumor biopsies are warranted in cases of aggressive and multi-drug resistant HL to validate imaging findings, ensure correct diagnosis and avoid overtreatment.
Published Kaunas ; Basel : LSMU ; MDPI
Type Journal article
Language English
Publication date 2020
CC license CC license description