2024
DOI: 10.2169/internalmedicine.1844-23
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Hepatocellular Carcinoma Showing Tumor Shrinkage Due to an Abscopal Effect

Abstract: We herein report a 63-year-old man who presented with left lower jaw pain and was diagnosed with hepatocellular carcinoma with bone metastases post-examination. All tumors grew after immunotherapy with atezolizumab and bevacizumab, and his jaw pain worsened. After palliative radiation therapy, however, the tumors shrank markedly, with no recurrence seen after stopping immunotherapy. To our knowledge, this is the first case in which a radiotherapy-and immunotherapy-mediated abscopal effect facilitated tumor shr… Show more

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“…Clinical application of the abscopal effect in HCC still lies in its infancy, with a long way to go, although the continuous investigations are aimed at the optimization of radiation protocols and combinations with immunotherapies, which would reliably induce the phenomenon in practice. Further study on the molecular and immunological profile of HCC is critical in tailoring treatment strategies, based on exploiting the abscopal effect with hope for overall improvements in the management of patients [ 58 , 59 ].…”
Section: Combination Of Radiotherapy and Immunotherapymentioning
confidence: 99%
“…Clinical application of the abscopal effect in HCC still lies in its infancy, with a long way to go, although the continuous investigations are aimed at the optimization of radiation protocols and combinations with immunotherapies, which would reliably induce the phenomenon in practice. Further study on the molecular and immunological profile of HCC is critical in tailoring treatment strategies, based on exploiting the abscopal effect with hope for overall improvements in the management of patients [ 58 , 59 ].…”
Section: Combination Of Radiotherapy and Immunotherapymentioning
confidence: 99%