PMID- 32664168 OWN - NLM STAT- MEDLINE DCOM- 20200727 LR - 20221005 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 99 IP - 28 DP - 2020 Jul 10 TI - Responses of metastatic primary fallopian tube carcinoma to pembrolizumab and nab-paclitaxel: A case report. PG - e21203 LID - 10.1097/MD.0000000000021203 [doi] LID - e21203 AB - RATIONALE: Primary fallopian tube carcinoma (PFTC) is an extremely rare but invasive malignancy with a dismal prognosis. Very few data exist on the salvage treatment for patients with PFTC. Here we report a case showing an impressive response to immunotherapy combined with chemotherapy, which have never been reported before on patients with metastatic PFTC. PATIENT CONCERNS: A 42-year-old woman, who was diagnosed with PFTC in 2010, had been failed of multiple systemic therapies and antiangiogenic therapy because of the disease recurrence and progression. DIAGNOSIS: Metastatic primary fallopian tube carcinoma. INTERVENTIONS: The patient underwent surgery in May 2010 and had multi-line chemotherapies plus an anti-vascular endothelial growth factor (anti-VEGF) monoclonal antibody for about 9 years. Due to treatment failure the patient accepted the immunotherapy with the checkpoint inhibitor, pembrolizumab, combined with nab-paclitaxel from December 2018 to April 2019. OUTCOMES: The patient showed a complete response after 6 cycles treatment. Thus far, the patient is taking pembrolizumab as maintenance and remains in good health. LESSONS: Pembrolizumab combined with chemotherapy for treatment of PFTC may provide a positive antitumor effect in multiple metastatic lesions, but more clinical evidence is needed to confirm the efficacy and safety. FAU - Jiang, Jian AU - Jiang J AD - Department of Oncology, The Affiliated Zhangjiagang Hospital of Soochow University, Suzhou, China. FAU - Chen, Zhi-Peng AU - Chen ZP FAU - Zhu, Hui-Ping AU - Zhu HP FAU - Zhang, Yong-Qin AU - Zhang YQ FAU - Qian, Xiao-Lan AU - Qian XL FAU - Zhang, Min AU - Zhang M FAU - Ni, Chen AU - Ni C FAU - Zuo, Yun AU - Zuo Y LA - eng PT - Case Reports PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (130-nm albumin-bound paclitaxel) RN - 0 (Albumins) RN - 0 (Antibodies, Monoclonal, Humanized) RN - DPT0O3T46P (pembrolizumab) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - Adult MH - Albumins/*therapeutic use MH - Antibodies, Monoclonal, Humanized/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/*therapeutic use MH - Carcinoma/*drug therapy MH - Fallopian Tube Neoplasms/*drug therapy MH - Female MH - Humans MH - Paclitaxel/*therapeutic use PMC - PMC7360280 COIS- The authors declare that they have no competing interests. The authors have no conflicts of interest to disclose. EDAT- 2020/07/16 06:00 MHDA- 2020/07/28 06:00 PMCR- 2020/07/10 CRDT- 2020/07/16 06:00 PHST- 2020/07/16 06:00 [entrez] PHST- 2020/07/16 06:00 [pubmed] PHST- 2020/07/28 06:00 [medline] PHST- 2020/07/10 00:00 [pmc-release] AID - 00005792-202007100-00118 [pii] AID - MD-D-19-08739 [pii] AID - 10.1097/MD.0000000000021203 [doi] PST - ppublish SO - Medicine (Baltimore). 2020 Jul 10;99(28):e21203. doi: 10.1097/MD.0000000000021203.