Therapeutic effect of Nivolumab for advanced / recurrent temporal bone squamous cell carcinoma

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  • Noda Teppei
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Komune Noritaka
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Yasumatsu Ryuji
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Akagi Tsuchihashi Nana
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Tamae Akihiro
    Department of Otolaryngology, Head and Neck Surgery, Hamanomachi Hospital
  • Matsumoto Nozomu
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Sato Kuniaki
    Head and Neck section, National Kyushu Cancer Center
  • Uchi Ryutaro
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Koike Kensuke
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Wakasaki Takahiro
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital
  • Tanaka Risa
    Department of Oncology, Hamanomachi Hospital
  • Nakagawa Takashi
    Department of Otolaryngology, Head and Neck Surgery, Kyushu University Hospital

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Other Title
  • 再発・切除不能側頭骨扁平上皮癌に対するニボルマブの治療効果の検討

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Description

The immune checkpoint inhibitor Nivolumab was approved for the treatment of platinum-refractory head and neck squamous cell carcinoma (SCC), expanding the treatment options for recurrent or advanced head and neck SCC. However, since temporal bone squamous cell carcinoma (TB-SCC) is very rare cancer, the effectiveness of Nivolumab remains unclear. We investigated the effects of Nivolumab for TB-SCC.Chart information was collected for all patients who underwent the first administration of Nivolumab for recurrent or residual TB-SCC in our hospital between September 2017 and December 2019. Tumor staging followed the modified Pittsburgh classification. Changes in the tumor burden and survival outcome were examined.We examined 9 patients with recurrent or residual TB-SCC who started administration of Nivolumab. In these cases, recurrent or residual SCC was observed after chemotherapy and/or chemoradiotherapy including platinum. The duration of Nivolumab was 2-54 weeks (median 20.0 weeks). The evaluation of the therapeutic effect according to the RECIST method showed partial response in 1 case, stable disease in 2 cases, progressive disease in 4 cases, and size unevaluated in 2 case. Although the number of cases was small, comparing with 5 cases without Nivolumab, these cases showed longer overall survival (1-year OS 33.3% vs 20.0%).We used Nivolumab as palliative chemotherapy in 9 patients with recurrent/residual TB-SCC, and we were able to obtain a certain therapeutic effect on TB-SCC as well as other head and neck SCC.

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