Patterns of immunotherapy-induced pneumonitis in patients with non‑small‑cell lung cancer: A case series
Publication Details
Picard, S.,
Goh, D.,
Tan, A.,
Sikotra, N.,
Gabbay, E.,
&
Clay, T.
(2021).
Patterns of immunotherapy-induced pneumonitis in patients with non‑small‑cell lung cancer: A case series.
Journal of Medical Case Reports, 15 (1).
Abstract
Background: Immunotherapy has become an efcacious option in the management of solid organ malignancies. Immune-related adverse events including pneumonitis are well described and may be particularly of concern in patients receiving immunotherapy for non-small-cell lung cancer.
Case presentations: In this paper, we describe three cases of immunotherapy-induced pneumonitis occurring in the management of lung malignancy. Our cases include a 54-year-old Caucasian woman with squamous cell lung cancer who was successfully rechallenged with immunotherapy after prior significant pneumonitis, a 65-year-old Caucasian man with metastatic squamous cell lung cancer who developed pneumonitis after multiple cycles of uneventful immunotherapy, and a 73-year-old Caucasian man with squamous cell lung cancer who developed earlyonset pneumonitis with rebound on steroid taper.
Conclusions: This case series has provided further insight into the presentation and risk factors for pneumonitis in patients with non-small-cell lung cancer. Each of the cases of immunotherapy-induced pneumonitis illustrates the different potential patterns that may arise when immunotherapy-induced pneumonitis develops. This case series provides key learning points that may assist physicians managing non-small-cell lung cancer with immunotherapy.
Keywords
pneumonitis, immunotherapy, malignancy, NSCLC, irAE
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