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Peer-reviewedCC BY-NC-NDInternal Medicine

Successful Treatment of Synchronous Double Lung and Colon Cancers Using Immune Checkpoint Inhibitors

Abstract

We herein report a case of successfully treated synchronous advanced cancers: programmed death-ligand1 (PD-L1)-negative squamous cell carcinoma of the left upper lung lobe and adenocarcinoma of the ascending colon. As lung cancer was prioritized as the primary therapeutic target, the patient received a combination of anti-PD-L1 and anti-cytotoxic T-lymphocyte-associated protein-4 (CTLA-4) antibodies, along with chemotherapy (the POSEIDON regimen). This approach proved effective against both lung and colon cancer. Subsequent testing revealed high-frequency microsatellite instability (MSI-H) in the colon cancer. These findings highlight the therapeutic potential of combined anti-PD-L1 and anti-CTLA-4 antibodies in the treatment of PD-L1-negative lung and MSI-H colorectal cancers.

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BibTeX
@article{matsuoka2026successful,
  title = {{Successful Treatment of Synchronous Double Lung and Colon Cancers Using Immune Checkpoint Inhibitors}},
  author = {Shuichi Matsuoka and Hirokazu Tokuyasu and Katsunori Arai and Hiromitsu Sakai and Chika Esumi and Akira Yamasaki},
  journal = {Internal Medicine},
  year = {2026},
  month = sep,
  doi = {10.2169/internalmedicine.6293-25},
  url = {https://www.jstage.jst.go.jp/article/internalmedicine/65/17/65_6293-25/_article},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Successful Treatment of Synchronous Double Lung and Colon Cancers Using Immune Checkpoint Inhibitors
AU  - Shuichi Matsuoka
AU  - Hirokazu Tokuyasu
AU  - Katsunori Arai
AU  - Hiromitsu Sakai
AU  - Chika Esumi
AU  - Akira Yamasaki
PY  - 2026
DA  - 2026/09/01
JO  - Internal Medicine
DO  - 10.2169/internalmedicine.6293-25
UR  - https://www.jstage.jst.go.jp/article/internalmedicine/65/17/65_6293-25/_article
AB  - We herein report a case of successfully treated synchronous advanced cancers: programmed death-ligand1 (PD-L1)-negative squamous cell carcinoma of the left upper lung lobe and adenocarcinoma of the ascending colon. As lung cancer was prioritized as the primary therapeutic target, the patient received a combination of anti-PD-L1 and anti-cytotoxic T-lymphocyte-associated protein-4 (CTLA-4) antibodies, along with chemotherapy (the POSEIDON regimen). This approach proved effective against both lung and colon cancer. Subsequent testing revealed high-frequency microsatellite instability (MSI-H) in the colon cancer. These findings highlight the therapeutic potential of combined anti-PD-L1 and anti-CTLA-4 antibodies in the treatment of PD-L1-negative lung and MSI-H colorectal cancers.
SN  - 1349-7235
SN  - 0918-2918
ER  -