Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review

Head and neck cancers are being diagnosed more frequently in elderly patients and at advanced stages. In these cases, standard treatment methods are often not feasible due to patient frailty and malnutrition. A few trials have demonstrated the safety and effectiveness of immune checkpoint inhibitors...

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Main Authors: Abdulrahman Hesham, Fawaz AlOtaibi, D. David Kim, Yousef Alshamrani, Joao Hyppolito, Katie Jubala
Format: Article
Language:English
Published: Elsevier 2024-09-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024004424
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author Abdulrahman Hesham
Fawaz AlOtaibi
D. David Kim
Yousef Alshamrani
Joao Hyppolito
Katie Jubala
author_facet Abdulrahman Hesham
Fawaz AlOtaibi
D. David Kim
Yousef Alshamrani
Joao Hyppolito
Katie Jubala
author_sort Abdulrahman Hesham
collection DOAJ
description Head and neck cancers are being diagnosed more frequently in elderly patients and at advanced stages. In these cases, standard treatment methods are often not feasible due to patient frailty and malnutrition. A few trials have demonstrated the safety and effectiveness of immune checkpoint inhibitors (ICIs) as neoadjuvant therapy for locally advanced oral cancer. We present the case of a 51-year-old male patient who had locally advanced oral cavity cancer that was treated with the combination of pembrolizumab and weekly carboplatin and paclitaxel. This treatment resulted in a major pathological response, leading to a significant reduction in tumor size and allowing for surgical treatment. In addition, the patient remains free of locoregional disease nine months after the surgery. Clinical trials are essential to investigate the viability of this potentially less toxic and more convenient combined therapy in patients with advanced squamous cell carcinoma of the oral cavity.
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institution Kabale University
issn 2772-9060
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publishDate 2024-09-01
publisher Elsevier
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series Oral Oncology Reports
spelling doaj-art-6c3a42c922504b33916ffde90eb09f0f2025-01-09T06:16:52ZengElsevierOral Oncology Reports2772-90602024-09-0111100596Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature reviewAbdulrahman Hesham0Fawaz AlOtaibi1D. David Kim2Yousef Alshamrani3Joao Hyppolito4Katie Jubala5Corresponding author.; Department of Oral and Maxillofacial Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, LSU Health Science Center Shreveport, 1501 Kings Highway, PO Box 33932, Shreveport, LA, 71130-3932, USADepartment of Oral and Maxillofacial Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, LSU Health Science Center Shreveport, 1501 Kings Highway, PO Box 33932, Shreveport, LA, 71130-3932, USADepartment of Oral and Maxillofacial Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, LSU Health Science Center Shreveport, 1501 Kings Highway, PO Box 33932, Shreveport, LA, 71130-3932, USADepartment of Oral and Maxillofacial Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, LSU Health Science Center Shreveport, 1501 Kings Highway, PO Box 33932, Shreveport, LA, 71130-3932, USADepartment of Oral and Maxillofacial Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, LSU Health Science Center Shreveport, 1501 Kings Highway, PO Box 33932, Shreveport, LA, 71130-3932, USADepartment of Oral and Maxillofacial Surgery, Head and Neck Oncology and Microvascular Reconstructive Surgery, LSU Health Science Center Shreveport, 1501 Kings Highway, PO Box 33932, Shreveport, LA, 71130-3932, USAHead and neck cancers are being diagnosed more frequently in elderly patients and at advanced stages. In these cases, standard treatment methods are often not feasible due to patient frailty and malnutrition. A few trials have demonstrated the safety and effectiveness of immune checkpoint inhibitors (ICIs) as neoadjuvant therapy for locally advanced oral cancer. We present the case of a 51-year-old male patient who had locally advanced oral cavity cancer that was treated with the combination of pembrolizumab and weekly carboplatin and paclitaxel. This treatment resulted in a major pathological response, leading to a significant reduction in tumor size and allowing for surgical treatment. In addition, the patient remains free of locoregional disease nine months after the surgery. Clinical trials are essential to investigate the viability of this potentially less toxic and more convenient combined therapy in patients with advanced squamous cell carcinoma of the oral cavity.http://www.sciencedirect.com/science/article/pii/S2772906024004424Neoadjuvant immunotherapyPembrolizumabPaclitaxelCarboplatinOral cancer
spellingShingle Abdulrahman Hesham
Fawaz AlOtaibi
D. David Kim
Yousef Alshamrani
Joao Hyppolito
Katie Jubala
Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review
Oral Oncology Reports
Neoadjuvant immunotherapy
Pembrolizumab
Paclitaxel
Carboplatin
Oral cancer
title Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review
title_full Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review
title_fullStr Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review
title_full_unstemmed Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review
title_short Neoadjuvant pembrolizumab-carboplatin-paclitaxel in locally advanced squamous cell carcinoma of the oral cavity: A case report and literature review
title_sort neoadjuvant pembrolizumab carboplatin paclitaxel in locally advanced squamous cell carcinoma of the oral cavity a case report and literature review
topic Neoadjuvant immunotherapy
Pembrolizumab
Paclitaxel
Carboplatin
Oral cancer
url http://www.sciencedirect.com/science/article/pii/S2772906024004424
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