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Hepatocellular Carcinoma Presenting with Pseudoprogression in a Patient Receiving Atezolizumab Plus Bevacizumab Combination Therapy.

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Internal medicine (Tokyo, Japan) 📖 저널 OA 75.8% 2024: 6/6 OA 2025: 37/56 OA 2026: 68/84 OA 2024~2026 2025 Vol.64(14) p. 2148-2154
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Osuga T, Kubo T, Miyanishi K, Ito R, Sugawara T, Ohnuma H

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A 65-year-old man with hepatocellular carcinoma and lung metastasis was treated with a combination of atezolizumab and bevacizumab.

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APA Osuga T, Kubo T, et al. (2025). Hepatocellular Carcinoma Presenting with Pseudoprogression in a Patient Receiving Atezolizumab Plus Bevacizumab Combination Therapy.. Internal medicine (Tokyo, Japan), 64(14), 2148-2154. https://doi.org/10.2169/internalmedicine.4710-24
MLA Osuga T, et al.. "Hepatocellular Carcinoma Presenting with Pseudoprogression in a Patient Receiving Atezolizumab Plus Bevacizumab Combination Therapy.." Internal medicine (Tokyo, Japan), vol. 64, no. 14, 2025, pp. 2148-2154.
PMID 39756877 ↗

Abstract

A 65-year-old man with hepatocellular carcinoma and lung metastasis was treated with a combination of atezolizumab and bevacizumab. Subsequently, the patient developed fever and new liver lesions, which were considered to indicate a pseudoprogression. Despite this, the treatment was continued. Three months later, computed tomography scans demonstrated that the new lesions had disappeared and both the primary tumor and metastases had shrunk. A partial response was achieved and maintained for two years. A histological examination revealed a predominance of CD8-positive lymphocytes and programmed death-ligand 1-positive tumor-associated macrophages, which may predict a positive response to this therapy. Pseudoprogression may therefore be a favorable prognostic factor in hepatocellular carcinoma.

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