Austin Health

Title
Immuno-oncology therapy associated thromboembolic events in metastatic renal cell carcinoma.
Publication Date
2023-07
Author(s)
Alhamdani, Zein
Alberto, Matthew
Ischia, Joseph J
Subject
Case report
IVC thrombus
Immune-oncology
Immunotherapy
Metastatic renal cell carcinoma
Pulmonary embolism
Thromboembolic
Type of document
Journal Article
OrcId
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DOI
10.1016/j.eucr.2023.102420
Abstract
The relationship between thromboembolic events (TEs) and immune-oncology (IO) agents in patients with metastatic renal cell carcinoma (mRCC) with inferior-vena-cava (IVC) thrombus has not been explored despite conferring significant morbidity. A late 30s female is diagnosed with mRCC with a level-II IVC thrombus after presenting with back pain. Two weeks post initiation of immunotherapy, she re-presented with bilateral sub-massive pulmonary emboli requiring IVC and pulmonary thrombectomy. This case exposes a potential relationship between mRCC and IVC thrombus with IO agents that creates a critically hypercoagulable state. This issue requires further investigation given the apparent under-reporting of TEs in these patients.
Link
Citation
Urology Case Reports 2023-07; 49
Jornal Title
Urology Case Reports

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