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Possible Pitfalls of Ipilimumab Therapy in Malignant Melanoma –  a Case Report


Authors: J. Kopecký 1;  O. Kubeček 1;  F. Gabalec 2;  P. Hoffmann 3;  I. Svilias 2
Authors‘ workplace: Klinika onkologie a radioterapie LF UK a FN Hradec Králové 1;  Endokrinologie, IV. interní hematologická klinika LF UK a FN Hradec Králové 2;  Radiologická klinika LF UK a FN Hradec Králové 3
Published in: Klin Onkol 2015; 28(6): 444-449
Category: Case Reports
doi: https://doi.org/10.14735/amko2015444

Overview

Background:
Metastatic melanoma is a malignancy with one of the highest mortality rates. However, with the introduction of new drugs during the last decade, the prognosis of patients began to improve. Ipilimumab is one of the first so‑ called modern drugs in melanoma treatment. The therapy is often complicated by adverse effects which are referred as immune‑related adverse events due to its mechanism of action.

Case:
We present a case of 68‑year‑ old women with metastatic melanoma who underwent treatment with ipilimumab. The patient encountered several adverse events during the treatment. Some of them are quite common (e.g. skin affections), others (e.g. endocrinopathies) are less frequent.

Conclusion:
This case study highlights the need for close observation not only during the actual treatment with ipilimumab, but also several weeks or months after the last dose. This case study also demonstrates further need of education of doctors who do not usually come in to contact with such patients.

Key word:
melanoma – ipilimumab – hypohysitis – CTLA-4

The work was realized with the support PRVOUK 37/06.

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE recommendation for biomedical papers.

Submitted:
30. 8. 2015

Accepted:
20. 9. 2015


Sources

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Labels
Paediatric clinical oncology Surgery Clinical oncology
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