Summary of imaging scans and timeline of therapy and disease status for Case 4
(a) Baseline status before treatment with Nivolumab and radiotherapy (RT). (b) MRI images 20 days after radiotherapy revealed decreased size of the radiation-targeted lesion. (c, d, and e) Evidence of complete remission after treatment with Everolimus combined with Pembrolizumab. The patient then underwent radical surgical resection. (f) MRI scans obtained 3 months after surgical resection showed that the tumor was complete resected. (g) Serum carbohydrate antigen 199 (CA199) and alpha-fetoprotein (AFP) levels with respect to the treatment timeline. (h) Statistics of maximum diameter of the lesion. Seven months after Nivolumab treatment, the patient achieved partial response (RECIST criteria). (i) Timeline showing therapy and disease status throughout the disease course.