Table 1.
Patient A | Patient B | Patient C | Patient D | |
---|---|---|---|---|
Primary site | Vagina | Vagina | Vagina | Cervix |
Age | 44 | 68 | 61 | 62 |
BMI | 20.4 | 23.7 | 24.4 | 26 |
Pathology IHC staining | Melan-A, MITF, HMB-45 | MITF, HMB-45 | Melan-A, MITF, HMB-45, tyrosinase | Melan-A, HMB-45, S100 |
Ipilimumab doses | 4 | 4 | 4 | 3 |
Radiation therapy | EBRT 3000 cGy | EBRT 6020 cGy | EBRT 3000 cGy | EBRT 3000 cGy |
Post-Ipi/RT imaging | SD | PR | CR | SD |
Surgical resection | Vaginectomy | WLE | n/a | Hysterectomy, BSO, vaginectomy |
Post-op imaging | CR | CR | CR | CR |
Recurrence | No | Yes | No | Yes |
Vital status | NED | DOD | NED | AWD |
BMI = body mass index, IHC = immunohistochemistry, Melan-A = melanoma antigen, MITF = microphthalmia-associated transcription factor, HMB-45 = human melanoma black 45, EBRT = external beam radiation therapy, Ipi = ipilimumab, SD = stable disease, PR = partial response, CR = complete response, WLE = wide local excision, BSO = bilateral salpingo-oophorectomy, NED = no evidence of disease, DOD = dead of disease, AWD = alive with disease.
All patients had a documented local CR postoperatively.