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A Case of Aggravation of Thyroid Goiter after Treatment with PD-1 Inhibitor for Breast Cancer in Patients with Underlying Hashimoto's Thyroiditis

기저 하시모토 갑상선염이 있던 유방암 환자에서 PD-1 억제제 투약 후 악화된 갑상선 종대의 증례

  • Kim, Hana (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Kim, Min Joo (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Song, Young Shin (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine) ;
  • Cho, Sun Wook (Department of Internal Medicine, Seoul National University Hospital, Seoul National University College of Medicine)
  • Received : 2018.05.02
  • Accepted : 2018.08.09
  • Published : 2018.11.30

Abstract

Anti-programmed cell death-1 (PD-1) humanized monoclonal antibody inhibits PD-1 activity by binding to the PD-1 receptor on T-cells and blocking PD-1 ligands and induces immune tolerance of cancer cells. It has been widely used for various kinds of cancer treatment. However, many immune-related adverse events (irAEs) have been reported because it modulates our immune system. In this case study, we reported a case of 42-year-old woman with Hashimoto's thyroiditis who showed rapid aggravation of thyroid goiter and acute hyperventilation syndrome after treatment with PD-1 inhibitor as a neoadjuvant chemotherapy for breast cancer.

Keywords

References

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