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A case report of immunotherapy-related breast reactive capillary endothelial proliferation

Published on Feb. 25, 2023Total Views: 900 timesTotal Downloads: 381 timesDownloadMobile

Author: Chen JIE Jing YU Ru-Meng LI Jun GONG Cong-Hua XIE

Affiliation: Department of Radiation and Medical Oncology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China

Keywords: Reactive capillary endothelial proliferation Breast Immunotherapy Camrelizumab

DOI: 10.12173/j.issn.1004-5511.202210028

Reference: Jie C, Yu J, Li RM, Gong J, Xie CH. A case report of immunotherapy-related breast reactive capillary endothelial proliferation[J]. Yixue Xinzhi Zazhi, 2023, 33(1): 74-77. DOI: 10.12173/j.issn.1004-5511.202210028.[Article in Chinese]

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Abstract

Reactive capillary endothelial proliferation (RCEP) is the most common immune-related adverse event (irAE) during Camrelizumab treatment. RCEP occurs in the majority of patients with advanced solid tumors who receive Camrelizumab monotherapy. This irAE mainly occurs in the skin clinically, and RCEP in the breast is quite rare. Here we report a case of a female patient with lung ad-enocarcinoma who developed breast RCEP after Camrelizumab treatment and regressed spontane-ously without drug withdrawal. We analyze the mechanism of its occurrence and its possible clinical significance based on relevant literature, aiming to provide guidance for clinical practice.

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References

1.Song H, Liu X, Jiang L, et al. Current status and prospects of camrelizumab, a humanized antibody against programmed cell death receptor 1[J]. Recent Pat Anticancer Drug Discov, 2021, 16(3): 312-332. DOI: 10.2174/1574892816666210208231744.

2.Mo H, Huang J, Xu J, et al. Safety, anti-tumour activity, and pharmacokinetics of fixed-dose SHR-1210, an anti-PD-1 antibody in advanced solid tumours: a dose-escalation, phase 1 study[J]. Br J Cancer, 2018, 119(5): 538-545. DOI: 10.1038/s41416-018-0100-3.

3.Chen X, Ma L, Wang X, et al. Reactive capillary hemangiomas: a novel dermatologic toxicity following anti-PD-1 treatment with SHR-1210[J]. Cancer Biol Med, 2019, 16(1): 173-181. DOI: 10.20892/j.issn.2095-3941. 2018.0172.

4.Goldstraw P, Chansky K, Crowley J, et al. The IASLC lung cancer staging project: proposals for revision of the TNM stage groupings in the forthcoming (Eighth) edition of the TNM classification for lung can-cer[J]. J Thorac Oncol, 2016, 11(1): 39-51. DOI: 10.1016/j.jtho.2015.09.009.

5.秦叔逵, 马军, 李进, 等. 卡瑞利珠单抗致反应性皮肤毛细血管增生症临床诊治专家共识 [J]. 临床肿瘤学杂志, 2020, 25(9): 840-848. [Qin SK, Ma J, Li J, et al. Expert consensus on clinical diagnosis and treatment of Camrel-izumab reactive capillary endothelial proliferation[J]. Chinese Clinical Oncology, 2020, 25(9): 840-848.] DOI: 10.3969/j.issn.1009-0460.2020.09.012.

6.Wang F, Qin S, Sun X, et al. Reactive cutaneous capillary endothelial proliferation in advanced hepato-cellular carcinoma patients treated with camrelizumab: data derived from a multicenter phase 2 trial[J]. J Hematol Oncol, 2020, 13(1): 47. DOI: 10.1186/s13045-020-00886-2.

7.Yu Q, Wang WX. Camrelizumab (SHR-1210) leading to reactive capillary hemangioma in the gingiva: a case report[J]. World J Clin Cases, 2020, 8(3): 624-629. DOI: 10.12998/wjcc.v8.i3.624.

8.Huang J, Xu J, Chen Y, et al. Camrelizumab versus investigator's choice of chemotherapy as second-line therapy for advanced or metastatic oesophageal squamous cell carcinoma (ESCORT): a multicentre, randomised, open-label, phase 3 study[J]. Lancet Oncol, 2020, 21(6): 832-842. DOI: 10.1016/s1470-2045(20)30110-8.

9.Finlay WJJ, Coleman JE, Edwards JS, et al. Anti-PD1 'SHR-1210' aberrantly targets pro-angiogenic re-ceptors and this polyspecificity can be ablated by paratope refinement[J]. MAbs, 2019, 11(1): 26-44. DOI: 10.1080/19420862.2018.1550321.

10.Xu J, Zhang Y, Jia R, et al. Anti-PD-1 antibody SHR-1210 combined with apatinib for advanced hepato-cellular carcinoma, gastric, or esophagogastric junction cancer: an open-label, dose escalation and ex-pansion study[J]. Clin Cancer Res, 2019, 25(2): 515-523. DOI: 10.1158/1078-0432.Ccr-18-2484.

11.Meng X, Wu T, Hong Y, et al. Camrelizumab plus apatinib as second-line treatment for advanced oe-sophageal squamous cell carcinoma (CAP 02): a single-arm, open-label, phase 2 trial[J]. Lancet Gastro-enterol Hepatol, 2022, 7(3): 245-253. DOI: 10.1016/s2468-1253(21)00378-2.

12.Xu J, Shen J, Gu S, et al. Camrelizumab in combination with apatinib in patients with advanced hepato-cellular carcinoma (RESCUE): a nonrandomized, open-label, phase II trial[J]. Clin Cancer Res, 2021, 27(4): 1003-1011. DOI: 10.1158/1078-0432.Ccr-20-2571.

13.Shiojima I, Sato K, Izumiya Y, et al. Disruption of coordinated cardiac hypertrophy and angiogenesis contributes to the transition to heart failure[J].  J Clin Invest, 2005, 115(8): 2108-2118. DOI: 10.1172/jci24682.

14.Rispoli M, Savastano MC, Lumbroso B. Quantitative vascular density changes in choriocapillaris around CNV after anti-VEGF treatment: dark halo[J]. Ophthalmic Surg Lasers Imaging Retina, 2018, 49(12): 918-924. DOI: 10.3928/23258160-20181203-02.

15.Fang W, Yang Y, Ma Y, et al. Camrelizumab (SHR-1210) alone or in combination with gemcitabine plus cisplatin for nasopharyngeal carcinoma: results from two single-arm, phase 1 trials[J]. Lancet Oncol, 2018, 19(10): 1338-1350. DOI: 10.1016/s1470-2045(18)30495-9.

16.曾志艳, 李庆艳, 屈雪玲, 等. 卡瑞利珠单抗致乳腺反应性毛细血管瘤1例 [J]. 中国肿瘤临床, 2021, 48(13): 701-702. [Zeng ZY, Li QY, Qu XL, et al. Reactive capillary hemangioma of the breast caused by Camreli-zumab: a case report[J]. Chinese Journal of Clinical Oncology, 2021, 48(13): 701-702.] DOI: 10.3969/j.issn.1000-8179.2021.13.419.