南京医科大学学报（自然科学版）2024，Vol.44Issue(7)：947-953,7.DOI:10.7655/NYDXBNSN231045
肺癌合并免疫检查点抑制剂相关肺炎的临床特征和预后分析
Clinical features and prognosis of immune checkpoint inhibitor-related pneumonitis in lung cancer
摘要
Abstract
Objective:To analyze the clinical features and prognosis of immune checkpoint inhibitor-related pneumonitis(CIP)in lung cancer.Methods:Clinical data of lung cancer patients who developed CIP after receiving immune checkpoint inhibitor(ICI)treatment at the First Affiliated Hospital of Nanjing Medical University from September 2018 to September 2022 were retrospectively collected.Baseline characteristics,clinical features,treatment conditions were analyzed and described,and survival analysis was conducted.Results:A total of 75 patients were included,with 71 males and 4 females,with a mean age of(66.7±7.6)years.The onset time was 4 to 1 054 days after receiving ICI treatment.60.0％of patients had pre-existing emphysema at baseline,and 36.0％had interstitial lung abnormalities(ILA)/interstitial lung disease(ILD).Radiological manifestations included organizing pneumonia(OP)type,nonspecific interstitial pneumonia(NS1P)type,acute interstitial pneumonia(AIP)/acute respiratory distress syndrome(ARDS)type,and other types,with 36 cases(48.0％),28 cases(37.3％),6 cases(8.0％),and 5 cases(6.7％),respectively.There were significant differences in survival between patients with pre-existing ILA/ILD at baseline and those with CIP manifested as AIP/ARDS type(P＜0.05).Conclusion:Lung cancer patients with pre-existing ILA/ILD before receiving ICI treatment and CIP manifested as AIP/ARDS type have a poorer prognosis.关键词
免疫检查点抑制剂相关肺炎/肺癌/影像学表现Key words
checkpoint inhibitor-related pneumonitis/lung cancer/imaging manifestations分类
医药卫生引用本文复制引用
魏艳秋,季辰菲,孙伟,陶媛,彭思琪,吴超杰,黄茂,吉宁飞..肺癌合并免疫检查点抑制剂相关肺炎的临床特征和预后分析[J].南京医科大学学报（自然科学版）,2024,44(7):947-953,7.基金项目
江苏省重点研发计划(BE2020616) （BE2020616）
无锡市卫生健康委重大项目(Z202113) （Z202113）
