Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid

Purpose. To describe tumor shrinkage of nonirradiated lung metastases in a patient with non-small cell lung cancer. Case Report. The patient had a concurrent autoimmune condition, bullous pemphigoid, which was clinically exacerbated during radiotherapy of mediastinal and axillary lymph node metastas...

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Main Authors: Carsten Nieder, Khalid Al-Shibli, Terje Tollåli
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2015/964687
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author Carsten Nieder
Khalid Al-Shibli
Terje Tollåli
author_facet Carsten Nieder
Khalid Al-Shibli
Terje Tollåli
author_sort Carsten Nieder
collection DOAJ
description Purpose. To describe tumor shrinkage of nonirradiated lung metastases in a patient with non-small cell lung cancer. Case Report. The patient had a concurrent autoimmune condition, bullous pemphigoid, which was clinically exacerbated during radiotherapy of mediastinal and axillary lymph node metastases. He also developed a series of infections during and after irradiation, and we hypothesize that the immunological events during this phase might have influenced the size of the nonirradiated metastases. Conclusion. Ionizing radiation generates inflammatory signals and, in principle, could provide both tumor-specific antigens from dying cells and maturation stimuli that are necessary for dendritic cells’ activation of tumor-specific T cells. Even if the detailed mechanisms causing nontargeted immune modulatory effects in individual patients are poorly understood, clinical development of radioimmunotherapy is underway.
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series Case Reports in Oncological Medicine
spelling doaj-art-de2e41564cf84df29d566f59a842fbcf2025-08-20T03:26:21ZengWileyCase Reports in Oncological Medicine2090-67062090-67142015-01-01201510.1155/2015/964687964687Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous PemphigoidCarsten Nieder0Khalid Al-Shibli1Terje Tollåli2Department of Oncology and Palliative Medicine, Nordland Hospital, 8092 Bodø, NorwayDepartment of Pathology, Nordland Hospital, 8092 Bodø, NorwayDepartment of Pulmonology, Nordland Hospital, 8092 Bodø, NorwayPurpose. To describe tumor shrinkage of nonirradiated lung metastases in a patient with non-small cell lung cancer. Case Report. The patient had a concurrent autoimmune condition, bullous pemphigoid, which was clinically exacerbated during radiotherapy of mediastinal and axillary lymph node metastases. He also developed a series of infections during and after irradiation, and we hypothesize that the immunological events during this phase might have influenced the size of the nonirradiated metastases. Conclusion. Ionizing radiation generates inflammatory signals and, in principle, could provide both tumor-specific antigens from dying cells and maturation stimuli that are necessary for dendritic cells’ activation of tumor-specific T cells. Even if the detailed mechanisms causing nontargeted immune modulatory effects in individual patients are poorly understood, clinical development of radioimmunotherapy is underway.http://dx.doi.org/10.1155/2015/964687
spellingShingle Carsten Nieder
Khalid Al-Shibli
Terje Tollåli
Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid
Case Reports in Oncological Medicine
title Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid
title_full Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid
title_fullStr Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid
title_full_unstemmed Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid
title_short Nontargeted Effect after Radiotherapy in a Patient with Non-Small Cell Lung Cancer and Bullous Pemphigoid
title_sort nontargeted effect after radiotherapy in a patient with non small cell lung cancer and bullous pemphigoid
url http://dx.doi.org/10.1155/2015/964687
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AT khalidalshibli nontargetedeffectafterradiotherapyinapatientwithnonsmallcelllungcancerandbullouspemphigoid
AT terjetollali nontargetedeffectafterradiotherapyinapatientwithnonsmallcelllungcancerandbullouspemphigoid