Table 1.
Histology | Previous treatment | Checkpoint inhibitor | Special finding | Onset after start of immunotherapy | Clinical findings | Imaging | Treatment |
---|---|---|---|---|---|---|---|
Adenocarcinoma | S, CHT | Nivolumab | Pseudoprogression | 4 weeks | Unremarkable | >20% increase SLD | N/A |
Adenocarcinoma | CHT, RT | Durvalumab | Pseudoprogression | 4 weeks | Unremarkable | New bone mass | N/A |
Adenocarcinoma | CHT | Nivolumab | Sarcoid-like reaction | 4 weeks | Dyspnea—due do pleural effusion | Pulmonary micronodule in perilymphatic distribution; mediastinal lymphadenopathy | N/A |
Adenocarcinoma | CHT | Atezolizumab | Pneumonitis | 4 weeks | Increasing dyspnea | Ground-glass opacities and consolidation, mediastinal lymphadenopathy | Cortisone; pause atezolizumab |
Adenocarcinoma | CHT, RT | Durvalumab | Pneumonitis | 11 weeks | Worsening general condition | Ground-glass opacities | Cortisone; pause durvalumab |
S surgery, CHT cytotoxic chemotherapy, RT radiotherapy, SLD sum of the longest diameters, N/A not applicable