Immune Checkpoint Inhibitor-Induced Pancreatic Injury: Imaging Findings and Literature Review.


Journal

Targeted oncology
ISSN: 1776-260X
Titre abrégé: Target Oncol
Pays: France
ID NLM: 101270595

Informations de publication

Date de publication:
02 2020
Historique:
pubmed: 12 1 2020
medline: 3 3 2021
entrez: 12 1 2020
Statut: ppublish

Résumé

The immunotherapy revolution in cancer treatment involves a variety of specialists, not only oncologists, but also internal medicine physicians, endocrinologists, dermatologists, gastroenterologists, rheumatologists, and radiologists, introducing new scenarios and novel challenges in the diagnosis and management of a number of novel immune-related adverse events. Among these, immune checkpoint inhibitor-induced pancreatic injury has been described (occurring in up to 4% of patients) and has been reported to be responsible for visits to the emergency departments in up to 1.9% of patients treated with immune checkpoint inhibitors. This side effect can be symptomatic or non-symptomatic, and can be associated with the development of long-term damage to the pancreas, requiring the involvement of different specialists, including radiologists and gastroenterologists in the multidisciplinary team that manages these patients. The aim of this narrative review is to provide a summary of the available literature related to immune checkpoint inhibitor-induced pancreatic injury including the epidemiology, the clinical findings, and the management algorithm for diagnosis with a detailed analysis of the differential diagnosis at imaging, and treatment. A more in-depth focus is dedicated to symptomatic acute pancreatitis with its peculiar findings at imaging (ultrasound, computed tomography, and magnetic resonance imaging).

Identifiants

pubmed: 31925647
doi: 10.1007/s11523-019-00694-w
pii: 10.1007/s11523-019-00694-w
doi:

Substances chimiques

Immune Checkpoint Inhibitors 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

25-35

Références

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Auteurs

Michele Porcu (M)

Department of Radiology, Azienda Ospedaliera Universitaria Di Cagliari, S.S: 554, km 4500, CAP: 09042, Monserrato, Cagliari, Italy. micheleporcu87@gmail.com.

Cinzia Solinas (C)

Azienda AUSL, Regional Hospital of Aosta, Aosta, Italy.

Cristina Migali (C)

AIFA, Rome, Italy.

Angelo Battaglia (A)

Azienda AUSL, Regional Hospital of Aosta, Aosta, Italy.

Marina Schena (M)

Azienda AUSL, Regional Hospital of Aosta, Aosta, Italy.

Lorenzo Mannelli (L)

IRCSS SDN, Naples, Italy.

Alfredo Addeo (A)

Oncology Department, University Hospital of Geneva, Geneva, Switzerland.

Karen Willard-Gallo (K)

Molecular Immunology Unit, Institut Jules Bordet, Brussels, Belgium.

Luca Saba (L)

Department of Radiology, Azienda Ospedaliera Universitaria Di Cagliari, S.S: 554, km 4500, CAP: 09042, Monserrato, Cagliari, Italy.

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