Abstract

BackgroundCheckpoint inhibitors are a class of agents that employ host’s adaptive immune defenses in fighting cancer. With many new indications and several ongoing clinical trials in a variety of malignancies,...

Highlights

  • Checkpoint inhibitors are a class of agents that employ host’s adaptive immune defenses in fighting cancer

  • Nivolumab is among a class of checkpoint inhibitors, which share the same mechanism of enhancing host immunity against tumor cells

  • With respect to recurrent effusions in patient 1, we considered the possibilities of immune-related Adverse Effect (irAE) vs. pseudoprogression initially; as the patient was otherwise doing well clinically, we were able to manage his recurrent effusions with repeated fluid aspirations while following him closely

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Summary

Conclusions

Patients with history of malignant involvement of visceral spaces should be monitored closely for rapidly accumulating effusions and for cardiac tamponade, after initiation of therapy with nivolumab.

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