RT Journal Article
SR Electronic
T1 Retinal vasculitis and ocular vitreous metastasis following complete response to PD-1 inhibition in a patient with metastatic cutaneous melanoma
JF Journal for ImmunoTherapy of Cancer
JO J Immunother Cancer
FD BMJ Publishing Group Ltd
SP 41
DO 10.1186/s40425-014-0041-1
VO 2
IS 1
A1 Manusow, Joshua S
A1 Khoja, Leila
A1 Pesin, Nataly
A1 Joshua, Anthony M
A1 Mandelcorn, Efrem D
YR 2014
UL http://jitc.bmj.com/content/2/1/41.abstract
AB We report on a 36-year-old woman treated with the anti PD-1 antibody Pembrolizumab for metastatic cutaneous melanoma in the first line setting. She achieved a complete response and then relapsed with metastases to the vitreous cavity with an associated angiographically determined retinal vasculitis. Vitreous metastasis without choroidal involvement is unusual and may be due to individual cell extravasation, vitreous hemorrhage containing malignant cells, or direct spread through the optic nerve. This finding highlights the need for immune sanctuary sites to be monitored in the presence of PD-1 inhibition and we hypothesize that the use of PD-1 inhibitor potentiated the patient’s angiographically determined retinal vasculitis.Abbreviations:PD-1Programmed cell death-1ODRight eyeOSLeft eyeERGElectroretinogramCNSCentral nervous systemMARMelanoma associated retinopathyCARCancer associated retinopathyRPERetinal pigment epitheliaIVFAIntravenous Fluorescein Angiogram