A case of peritoneal carcinomatosis after hyperprogression in Human Papillomavirus-Positive (HPV+) oropharyngeal squamous cell carcinoma

Immunotherapy has been shown to provide clinical benefit in selected patients with head and neck squamous cell carcinoma (HNSCC), regardless of human papillomavirus (HPV) infection, and including recurrent/metastatic (R/M) platinum refractory tumors. Hyperprogression is an uncommon negative outcome...

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Detalhes bibliográficos
Autores: Bach, Rafael, Corbera, Alex, Sumarroca Trouboul, Anna, Gimeno, Javier, Guix Arnau, Marta, 1974-
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/69610
Acesso em linha:http://hdl.handle.net/10230/69610
http://dx.doi.org/10.7759/cureus.62509
Access Level:acceso abierto
Palavra-chave:Head and neck cancer
hpv positive
Hyperprogression
Immunotherapy
Peritoneal carcinomatosis
Descrição
Resumo:Immunotherapy has been shown to provide clinical benefit in selected patients with head and neck squamous cell carcinoma (HNSCC), regardless of human papillomavirus (HPV) infection, and including recurrent/metastatic (R/M) platinum refractory tumors. Hyperprogression is an uncommon negative outcome of treatment with immunotherapy. We present the case of a patient with HPV+ HNSCC who presented hyperprogression after immunotherapy and a rare metastasis location with peritoneal carcinomatosis and subcutaneous nodules. HPV+ HNSCC is related to distant recurrence after a longer interval of time and more diverse metastasis sites compared with HPV- disease. However, the literature on peritoneal metastasis in HNSCC remains limited, with few documented cases. To the best of our knowledge, this is the first case reporting peritoneal carcinomatosis after hyperprogression in HNSCC.