Open Access

Sintilimab‑induced acute erosive hemorrhagic gastritis as an adverse reaction of third‑line therapy in a nasopharyngeal carcinoma patient: A case report

  • Authors:
    • Wenqiang Tang
    • Yun Lv
    • Xiyue Yang
    • Kunyuan Gan
    • Gang Feng
    • Jie Li
    • Lu Ni
    • Yuxi Bai
    • Xiaobo Du
    • Feng Gao
  • View Affiliations

  • Published online on: May 2, 2025     https://doi.org/10.3892/ol.2025.15072
  • Article Number: 326
  • Copyright: © Tang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Immune checkpoint inhibitors (ICIs) have become an important treatment option for patients with nasopharyngeal carcinoma. With the increasing use of such agents, immune‑related adverse events (irAEs) have become a concern. Identifying and managing the toxicity and side effects of ICIs is crucial, since it not only has implications for their safety but also the intensity and efficacy of subsequent use by patients. The present case report documents a 40‑year‑old male patient with acute erosive hemorrhagic gastritis associated with sintilimab treatment. In particular, the clinical manifestations, treatment, side effects and prognosis of this case was focused upon. The patient was diagnosed with locally advanced nasopharyngeal carcinoma (cT4N3M0 stage IVa) and developed bone metastases after 1 year of standard radiotherapy and adjuvant chemotherapy. After the first‑ and second‑line treatments, pulmonary metastases occurred and sintilimab monotherapy was used as the third‑line therapy. During the course of treatment, the optimal outcome for this patient was partial response according to the Response Evaluation Criteria in Solid Tumors (version 1.1). However, after 14 cycles of sintilimab the patient developed melena and epigastric pain and was diagnosed with acute erosive hemorrhagic gastritis, which was treated with methylprednisolone therapy. Progression‑free survival with the third‑line treatment was 542 days. Sintilimab‑associated hemorrhagic gastritis is not fully recognized as an irAE. Therefore, early identification, diagnosis and management of irAEs are critical for subsequent therapy and progression‑free survival of patients. 
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July-2025
Volume 30 Issue 1

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Spandidos Publications style
Tang W, Lv Y, Yang X, Gan K, Feng G, Li J, Ni L, Bai Y, Du X, Gao F, Gao F, et al: Sintilimab‑induced acute erosive hemorrhagic gastritis as an adverse reaction of third‑line therapy in a nasopharyngeal carcinoma patient: A case report. Oncol Lett 30: 326, 2025.
APA
Tang, W., Lv, Y., Yang, X., Gan, K., Feng, G., Li, J. ... Gao, F. (2025). Sintilimab‑induced acute erosive hemorrhagic gastritis as an adverse reaction of third‑line therapy in a nasopharyngeal carcinoma patient: A case report. Oncology Letters, 30, 326. https://doi.org/10.3892/ol.2025.15072
MLA
Tang, W., Lv, Y., Yang, X., Gan, K., Feng, G., Li, J., Ni, L., Bai, Y., Du, X., Gao, F."Sintilimab‑induced acute erosive hemorrhagic gastritis as an adverse reaction of third‑line therapy in a nasopharyngeal carcinoma patient: A case report". Oncology Letters 30.1 (2025): 326.
Chicago
Tang, W., Lv, Y., Yang, X., Gan, K., Feng, G., Li, J., Ni, L., Bai, Y., Du, X., Gao, F."Sintilimab‑induced acute erosive hemorrhagic gastritis as an adverse reaction of third‑line therapy in a nasopharyngeal carcinoma patient: A case report". Oncology Letters 30, no. 1 (2025): 326. https://doi.org/10.3892/ol.2025.15072