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Conversion Therapy for Advanced Penile Cancer with Tislelizumab Combined with Chemotherapy: A Case Report and Review of Literature

Overview
Specialty General Medicine
Date 2022 Dec 9
PMID 36483823
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Abstract

Background: Locally advanced penile squamous cell carcinoma with unresectable inguinal lymph node metastasis has a poor prognosis, and surgical treatment alone offers limited benefits. Effective conversion therapy regimens are urgently needed.

Case Summary: We describe a locally advanced penile squamous cell carcinoma patient with bulky, fixed inguinal lymph node metastasis complicated with genital skin ulcers who underwent inguinal lymph node dissection and achieved a pathological complete response with conversion therapy comprising immunotherapy plus chemotherapy.

Conclusion: For unresectable locally advanced penile squamous cell carcinoma, neoadjuvant immunotherapy combined with chemotherapy is a potential treatment approach. Biomarkers of immunotherapy efficacy need to be explored, and clinical trials are needed to test these strategies.

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References
1.
Dillner J, von Krogh G, Horenblas S, Meijer C . Etiology of squamous cell carcinoma of the penis. Scand J Urol Nephrol Suppl. 2001; (205):189-93. DOI: 10.1080/00365590050509913. View

2.
Ottenhof S, Djajadiningrat R, Thygesen H, Jakobs P, Jozwiak K, Heeren A . The Prognostic Value of Immune Factors in the Tumor Microenvironment of Penile Squamous Cell Carcinoma. Front Immunol. 2018; 9:1253. PMC: 6004546. DOI: 10.3389/fimmu.2018.01253. View

3.
Herbst R, Baas P, Kim D, Felip E, Perez-Gracia J, Han J . Pembrolizumab versus docetaxel for previously treated, PD-L1-positive, advanced non-small-cell lung cancer (KEYNOTE-010): a randomised controlled trial. Lancet. 2015; 387(10027):1540-1550. DOI: 10.1016/S0140-6736(15)01281-7. View

4.
Sartore-Bianchi A, Martini M, Molinari F, Veronese S, Nichelatti M, Artale S . PIK3CA mutations in colorectal cancer are associated with clinical resistance to EGFR-targeted monoclonal antibodies. Cancer Res. 2009; 69(5):1851-7. DOI: 10.1158/0008-5472.CAN-08-2466. View

5.
Ali S, Pal S, Wang K, Palma N, Sanford E, Bailey M . Comprehensive Genomic Profiling of Advanced Penile Carcinoma Suggests a High Frequency of Clinically Relevant Genomic Alterations. Oncologist. 2015; 21(1):33-9. PMC: 4709208. DOI: 10.1634/theoncologist.2015-0241. View