Skip to main content
Top
Published in: International Cancer Conference Journal 2/2024

14-02-2024 | Lenvatinib | Case report - Complication

A case of postoperative pancreatitis in patients with renal cell carcinoma with an inferior vena cava tumor thrombus treated by presurgical lenvatinib plus pembrolizumab

Authors: Masahiro Kurokawa, Daiki Ikarashi, Renpei Kato, Mitsugu Kanehira, Takashi Fukagai, Wataru Obara

Published in: International Cancer Conference Journal | Issue 2/2024

Login to get access

Abstract

Pancreatic injury is a rare, but noted complication of nephrectomy. We report a case involving a 56-year-old man who presented with cT3bN0M0 left locally advanced renal cell carcinoma with an inferior vena cava thrombus. Nephrectomy with thrombectomy was performed given the remarkable shrinkage of the primary tumor and thrombus following lenvatinib plus pembrolizumab administration. The patient developed postoperative pancreatitis associated with unrecognized minor pancreatic injury, which was treated conservatively. To our knowledge, this has been the first case that underwent nephrectomy for RCC with an IVC thrombus after presurgical lenvatinib plus pembrolizumab and received conservative treatment for postoperative pancreatitis.
Literature
7.
go back to reference Horesh N, Abu-Ghanem Y, Erlich T et al (2020) Management of pancreatic injuries following nephrectomy. Isr Med Assoc J 22(4):244–248 (PMID: 32286029)PubMed Horesh N, Abu-Ghanem Y, Erlich T et al (2020) Management of pancreatic injuries following nephrectomy. Isr Med Assoc J 22(4):244–248 (PMID: 32286029)PubMed
10.
go back to reference Hu YB, Zhang Q, Li HJ, Michot JM, Liu HB, Zhan P et al (2017) Evaluation of rare but severe immune related adverse effects in PD-1 inhibitors in non-small cell lung cancer: a meta-analysis. Transl Lung Cancer Res 6(Suppl):S8–S20CrossRefPubMedPubMedCentral Hu YB, Zhang Q, Li HJ, Michot JM, Liu HB, Zhan P et al (2017) Evaluation of rare but severe immune related adverse effects in PD-1 inhibitors in non-small cell lung cancer: a meta-analysis. Transl Lung Cancer Res 6(Suppl):S8–S20CrossRefPubMedPubMedCentral
11.
go back to reference Reck M, Rodriguez-Abreu D, Robinson AG, Hui R, Csoszi T, Fulop A et al (2016) Pembrolizumab versus chemothrapy for PD-L1-positive non-small-cell lung cancer. N Engl JvMed 375:1823–1833CrossRef Reck M, Rodriguez-Abreu D, Robinson AG, Hui R, Csoszi T, Fulop A et al (2016) Pembrolizumab versus chemothrapy for PD-L1-positive non-small-cell lung cancer. N Engl JvMed 375:1823–1833CrossRef
12.
go back to reference Herbst RS, Baas P, Kim DW, Felip E, Perez-Gracia JL, Han JY et al (2016) Pembrolizmab versus docetaxel for previously treated, PD-L1-positive, advanced non-small-cell lung cancer (KEYNOTE-010): a randomized controlled trial. Lancet 387:1540–1550CrossRefPubMed Herbst RS, Baas P, Kim DW, Felip E, Perez-Gracia JL, Han JY et al (2016) Pembrolizmab versus docetaxel for previously treated, PD-L1-positive, advanced non-small-cell lung cancer (KEYNOTE-010): a randomized controlled trial. Lancet 387:1540–1550CrossRefPubMed
Metadata
Title
A case of postoperative pancreatitis in patients with renal cell carcinoma with an inferior vena cava tumor thrombus treated by presurgical lenvatinib plus pembrolizumab
Authors
Masahiro Kurokawa
Daiki Ikarashi
Renpei Kato
Mitsugu Kanehira
Takashi Fukagai
Wataru Obara
Publication date
14-02-2024

Other articles of this Issue 2/2024

International Cancer Conference Journal 2/2024 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine