Objective Primary ovarian small cell carcinoma of pulmonary type(SCCOPT)is a rare ovarian tumor with a poor prognosis.The platinum-based chemotherapy is the standard treatment.However,there is little research on the c...Objective Primary ovarian small cell carcinoma of pulmonary type(SCCOPT)is a rare ovarian tumor with a poor prognosis.The platinum-based chemotherapy is the standard treatment.However,there is little research on the clinical characteristics of SCCOPT and the potential benefits of other treatments due to its low incidence.The study aims to investigate clinicopathological characteristics and treatment of SCCOPT.Methods We summarized the clinical,imaging,laboratorical and pathological characteristics of 37 SCCOPT cases,in which 6 cases were admitted to the Gansu Provincial Hospital from the year of 2008 to 2022 and 31 cases reported in 17 English and 3 Chinese literatures.Results The median age of the studied SCCOPT cases(n=37)was 56.00(range,22-80)years.Almost 80%of them had a stageⅢorⅣtumor.All patients underwent an operation and postoperative chemotherapy.Nevertheless,all cases had a poor prognosis,with a median overall survival time of 12 months.Immunohistochemical y,the SCCOPT of all patients showed positive expressions of epithelial markers,such as CD56 and sex-determining region of Y chromosome-related high-mobility-group box 2(SOX-2),and negative expressions of estrogen receptor,progesterone receptor,vimentin,Leu-7,and somatostatin receptor 2.The tumor of above 80%cases expressed synaptophysin.Only a few cases expressed neuron-specific enolase,chromogranin A,and thyroid transcription factor-1.Conclusions SCCOPT had a poor prognosis.SOX-2 could be a biomarker to be used to diagnose SCCOPT.展开更多
A feasible design of ultra-dense Small cell network involves an effective solution to the interference coordination especially in cell edge. In this paper, we propose a channel state and interference aware power alloc...A feasible design of ultra-dense Small cell network involves an effective solution to the interference coordination especially in cell edge. In this paper, we propose a channel state and interference aware power allocation scheme(PAG) as an enhanced solution to improve the system performance, especially for the cell-edge users. Cournot model in Non-cooperative game is employed for power adjustment in Small cell clusters to increase cell-edge users' throughput by considering the power limitation and interference coordination. Additionally, we take iterative Water Filling scheme as a comparison to clarify that the PAG scheme has struck a favorable balance between system efficiency and fairness. Simulation results show that the proposed scheme contributes to the enhancement of edge users' throughput and cells' coverage. Moreover, the scheme is observed to show a stronger adaptability in denser Small cell networks.展开更多
Coverage challenge for small considered to be a optlmlzation is a main cell clusters which are promising solution to provide seamless cellular coverage for large indoor or outdoor areas. This paper focuses on small ce...Coverage challenge for small considered to be a optlmlzation is a main cell clusters which are promising solution to provide seamless cellular coverage for large indoor or outdoor areas. This paper focuses on small cell cluster coverage problems and proposes both centralized and distributed self-optimization methods. Modified Particle swarm optimization (MPSO) is introduced to centralized optimization which employs particle swarm optimization (PSO) and introduces a heuristic power control scheme to accelerate the algorithm to search tbr the global optimum solution. Distributed coverage optimization is modeled as a non-cooperative game, with a utility function considering both throughput and interference. An iterative power control algorithm is then proposed using game theory (DGT) which converges to Nash Equilibrium (NE). Simulation results show that both MPSO and DGT have excellent performance in coverage optimization and outperform optimization using simulated annealing algorithm (SA), reaching higher coverage ratio and throughput while with less iterations.展开更多
This paper focuses on boosting the performance of small cell networks(SCNs)by integrating multiple-input multiple-output(MIMO)and nonorthogonal multiple access(NOMA)in consideration of imperfect channel-state informat...This paper focuses on boosting the performance of small cell networks(SCNs)by integrating multiple-input multiple-output(MIMO)and nonorthogonal multiple access(NOMA)in consideration of imperfect channel-state information(CSI).The estimation error and the spatial randomness of base stations(BSs)are characterized by using Kronecker model and Poisson point process(PPP),respectively.The outage probabilities of MIMO-NOMA enhanced SCNs are first derived in closed-form by taking into account two grouping policies,including random grouping and distance-based grouping.It is revealed that the average outage probabilities are irrelevant to the intensity of BSs in the interference-limited regime,while the outage performance deteriorates if the intensity is sufficiently low.Besides,as the channel uncertainty lessens,the asymptotic analyses manifest that the target rates must be restricted up to a bound to achieve an arbitrarily low outage probability in the absence of the inter-cell interference.Moreover,highly correlated estimation error ameliorates the outage performance under a low quality of CSI,otherwise it behaves oppositely.Afterwards,the goodput is maximized by choosing appropriate precoding matrix,receiver filters and transmission rates.In the end,the numerical results verify our analysis and corroborate the superiority of our proposed algorithm.展开更多
Switch policy is essential for small cells to properly serve variable number of users in an energy efficient way.However,frequently switching small cell base stations(SBSs) may increase the network operating cost,espe...Switch policy is essential for small cells to properly serve variable number of users in an energy efficient way.However,frequently switching small cell base stations(SBSs) may increase the network operating cost,especially when there is an nonnegligible start-up energy cost.To this end,by observing the variety of user number,we focus on the design of a switch policy which minimize the cumulative energy consumption.A given user transmission rate is guaranteed and the capability of SBSs are limited as well.According to the knowledge on user number variety,we classify the energy consumption problem into two cases.In complete information case,to minimize the cumulative energy consumption,an offline solution is proposed according to critical segments.A heuristic algorithm for incomplete information case(HAIIC) is proposed by tracking the difference of cumulative energy consumption.The upper bound of the Energy Consumption Ratio(ECR) for HAIIC is derived as well.In addition,a practical Q-learning based probabilistic policy is proposed.Simulation results show that the proposed HAIIC algorithm is able to save energy efficiently.展开更多
Cache-enabled small cell networks have been regarded as a promising approach for network operators to cope with the explosive data traffic growth in future 5 G networks. However, the user association and resource allo...Cache-enabled small cell networks have been regarded as a promising approach for network operators to cope with the explosive data traffic growth in future 5 G networks. However, the user association and resource allocation mechanism has not been thoroughly studied under given content placement situation. In this paper, we formulate the joint optimization problem of user association and resource allocation as a mixed integer nonlinear programming(MINLP) problem aiming at deriving a balance between the total utility of data rates and the total data rates retrieved from caches. To solve this problem, we propose a distributed relaxing-rounding method. Simulation results demonstrate that the distributed relaxing-rounding method outperforms traditional max-SINR method and range-expansion method in terms of both total utility of data rates and total data rates retrieved from caches in practical scenarios. In addition, effects of storage and backhaul capacities on the performance are also studied.展开更多
Objective To investigate the expression and regulation of programmed cell death protein 1(PD1),B lymphocyte and T lymphocyte attenuator(BTLA)in peripheral blood of patients with non-small cell lung cancer(NSCLC);to ex...Objective To investigate the expression and regulation of programmed cell death protein 1(PD1),B lymphocyte and T lymphocyte attenuator(BTLA)in peripheral blood of patients with non-small cell lung cancer(NSCLC);to examine the correlation of the mRNA levels between PD and BTLA in NSCLC.Methods Flow cytometry was used to detect the expression of PD1 and BTLA on the surfaces of CD8^+T cells andγδ+T cells in the peripheral blood samples collected from 32 in-patients with stage IV NSCLC and 30 healthy individuals.We compared the expression of PD1 and BTLA on the surfaces ofγδ+T cells in the NSCLC patients with bone metastasis before and after the treatment of zoledronic acid.The correlations of PD1 and BTLA,as well as their ligands were analyzed using Pearson correlation analysis with the cBioPortal data platform.Results The frequency of PD1 on the surfaces of CD8^+T cells was significantly higher than that of theγδT cells in both healthy controls(t=2.324,P=0.024)and NSCLC patients(t=2.498,P=0.015).The frequency of PD1 on CD8^+T cells,rather than onγδ+T cells,was significantly upregulated in advanced NSCLC patients compared with that in healthy controls(t=4.829,P<0.001).The PD1+BTLA+γδT cells of the healthy controls were significantly lower than that of the NSCLC patients(t=2.422,P=0.0185).No differences in percentage of PD1+γδ+and BTLA+γδ+T cells were observed in 7 NSCLC patients with bone metastasis before and after zoledronic acid treatment.PD1 was positively correlated with BTLA in both lung adenocarcinoma(r=0.54;P<0.05)and lung squamous cell carcinoma(r=0.78;P<0.05).Conclusions The upregulation of co-inhibitory molecules occurs on the surfaces of both CD8^+T cells andγδT cells in advanced NSCLC,suggesting that these molecules were involved in regulating the inactivation of CD8^+T cells andγδ+T cells,immune escape and tumor invasion.展开更多
Small cells have been regarded as an appealing technique to boost resource reuse ratio. On the other hand, their large-scale and self-organised tendency would complicate the interference environment of mobile networks...Small cells have been regarded as an appealing technique to boost resource reuse ratio. On the other hand, their large-scale and self-organised tendency would complicate the interference environment of mobile networks. Meanwhile, traffic class is booming in recent years, which leads to higher demand for net- work designers on Quality of Service (QoS) provision, and therefore users' diverse re- quirements may not be guaranteed in sucff'an interference limited scenario. To maximise the number of users with QoS demands as well as resource reuse ratio, we formulate the resource allocation problem into a multi-objective l0 norm form. It is shown to be NP hard, and an iterative method is employed to approach the optimal solution. Because of its limit of being not adaptive to large-scale networks, we also design a heuristic method based on chordal graph, which, however, could result in per- formance loss when the size of networks is small. Finally, by combining these two meth- ods, we devise a hybrid algorithm such that the allocation performs both efficiently and effectively. Simulation results illustrate the performance of our proposed methods in terms of outage probability and resource reuse ratio.展开更多
With the proliferation of small and mini drones, Drone Small Cells(DSCs) can cooperative multiple drones to provide communication service for ground users as emergency means or supplementary ones of traditional terres...With the proliferation of small and mini drones, Drone Small Cells(DSCs) can cooperative multiple drones to provide communication service for ground users as emergency means or supplementary ones of traditional terrestrial cellular networks. In this paper, we study the fundamental problem of optimizing the deployment density of DSCs to achieve the maximum coverage performance. Most related works do not consider cumulative inter-cell interference when studying the coverage performance of DSCs. First, we derive an approximate and closed-form expression of the cumulative inter-cell interference which comes from both probabilistic Line-of-Sight(Lo S) and Non-Line-of-Sight(NLo S) links. Then, we analyze the coverage performance of DSCs and derive the transcendental function of optimal deployment density to obtain the maximum coverage. Last, we propose an algorithm to get the optimal deployment density with low complexity. We conduct both field experiments and Matlab simulations to verify the correctness of theoretical analysis. In addition, we show the impact of some factors on the relation between the deployment density and coverage performance through extensive numerical simulations.展开更多
Skin reaction or dermatological toxicities induced by immunotherapy is common.It usually manifests skin rash or erythema and can be cured by skin lotion or steroid.Nivolumab,a human IgG4 programmed cell death protein ...Skin reaction or dermatological toxicities induced by immunotherapy is common.It usually manifests skin rash or erythema and can be cured by skin lotion or steroid.Nivolumab,a human IgG4 programmed cell death protein 1(PD-1)inhibitor,blocks T cells activation preventing signal and allows the immune system to clear cancer cells.Nivolumab was approved in the second-line therapy in squamous cell lung cancer by FDA,with less than 10%unusual skin reaction,like sensory neuropathy,peeling skin,erythema multiforme,vitiligo,and psoriasis.Radiotherapy could aggravate this skin reaction through inflammatory response and promotion of immunity.The combined treatment of anti-PD-1 and radiotherapy represented a new promising therapeutic approach in many studies,but the risk of side effects may be high.We reported a patient with advanced squamous cell lung cancer who suffered from serious skin immune-related adverse events when he was treated with nivolumab and radiotherapy.The immune overreaction of the treatment of anti-PD-1 treatment and radiotherapy might cause these serious skin adverse events.Our report warranted careful workup to reduce the risk of side effects by combinative therapy with anti-PD-1 and radiotherapy.展开更多
文摘Objective Primary ovarian small cell carcinoma of pulmonary type(SCCOPT)is a rare ovarian tumor with a poor prognosis.The platinum-based chemotherapy is the standard treatment.However,there is little research on the clinical characteristics of SCCOPT and the potential benefits of other treatments due to its low incidence.The study aims to investigate clinicopathological characteristics and treatment of SCCOPT.Methods We summarized the clinical,imaging,laboratorical and pathological characteristics of 37 SCCOPT cases,in which 6 cases were admitted to the Gansu Provincial Hospital from the year of 2008 to 2022 and 31 cases reported in 17 English and 3 Chinese literatures.Results The median age of the studied SCCOPT cases(n=37)was 56.00(range,22-80)years.Almost 80%of them had a stageⅢorⅣtumor.All patients underwent an operation and postoperative chemotherapy.Nevertheless,all cases had a poor prognosis,with a median overall survival time of 12 months.Immunohistochemical y,the SCCOPT of all patients showed positive expressions of epithelial markers,such as CD56 and sex-determining region of Y chromosome-related high-mobility-group box 2(SOX-2),and negative expressions of estrogen receptor,progesterone receptor,vimentin,Leu-7,and somatostatin receptor 2.The tumor of above 80%cases expressed synaptophysin.Only a few cases expressed neuron-specific enolase,chromogranin A,and thyroid transcription factor-1.Conclusions SCCOPT had a poor prognosis.SOX-2 could be a biomarker to be used to diagnose SCCOPT.
基金supported by the National Science Foundation of China under Grant No.61300185
文摘A feasible design of ultra-dense Small cell network involves an effective solution to the interference coordination especially in cell edge. In this paper, we propose a channel state and interference aware power allocation scheme(PAG) as an enhanced solution to improve the system performance, especially for the cell-edge users. Cournot model in Non-cooperative game is employed for power adjustment in Small cell clusters to increase cell-edge users' throughput by considering the power limitation and interference coordination. Additionally, we take iterative Water Filling scheme as a comparison to clarify that the PAG scheme has struck a favorable balance between system efficiency and fairness. Simulation results show that the proposed scheme contributes to the enhancement of edge users' throughput and cells' coverage. Moreover, the scheme is observed to show a stronger adaptability in denser Small cell networks.
基金supported by the National High-Tech Development 863 Program of China (Grant DOS. 2012AA012801)National Natural Science Foundation of China(No.61331009)
文摘Coverage challenge for small considered to be a optlmlzation is a main cell clusters which are promising solution to provide seamless cellular coverage for large indoor or outdoor areas. This paper focuses on small cell cluster coverage problems and proposes both centralized and distributed self-optimization methods. Modified Particle swarm optimization (MPSO) is introduced to centralized optimization which employs particle swarm optimization (PSO) and introduces a heuristic power control scheme to accelerate the algorithm to search tbr the global optimum solution. Distributed coverage optimization is modeled as a non-cooperative game, with a utility function considering both throughput and interference. An iterative power control algorithm is then proposed using game theory (DGT) which converges to Nash Equilibrium (NE). Simulation results show that both MPSO and DGT have excellent performance in coverage optimization and outperform optimization using simulated annealing algorithm (SA), reaching higher coverage ratio and throughput while with less iterations.
基金supported in part by the National Key Research and Development Program of China under Grant 2017YFE0120600in part by National Natural Science Foundation of China under Grants 61801192,62171200,and 61801246+7 种基金in part by Guangdong Basic and Applied Basic Research Foundation under Grant 2019A1515012136in part by Natural Science Foundation of Anhui Province under Grant 1808085MF164in part by the Science and Technology Planning Project of Guangdong Province under Grants 2018B010114002 and 2019B010137006in part by the Science and Technology Development Fund,Macao SAR(File no.0036/2019/A1 and File no.SKL-IOTSC2021-2023)in part by the Hong Kong Presidents Advisory Committee on Research and Development(PACRD)under Project No.2020/1.6in part by Qinglan Project of University of Jiangsu Provincein part by the Research Committee of University of Macao under Grant MYRG2018-00156-FSTin part by 2018 Guangzhou Leading Innovation Team Program(China)under Grant 201909010006。
文摘This paper focuses on boosting the performance of small cell networks(SCNs)by integrating multiple-input multiple-output(MIMO)and nonorthogonal multiple access(NOMA)in consideration of imperfect channel-state information(CSI).The estimation error and the spatial randomness of base stations(BSs)are characterized by using Kronecker model and Poisson point process(PPP),respectively.The outage probabilities of MIMO-NOMA enhanced SCNs are first derived in closed-form by taking into account two grouping policies,including random grouping and distance-based grouping.It is revealed that the average outage probabilities are irrelevant to the intensity of BSs in the interference-limited regime,while the outage performance deteriorates if the intensity is sufficiently low.Besides,as the channel uncertainty lessens,the asymptotic analyses manifest that the target rates must be restricted up to a bound to achieve an arbitrarily low outage probability in the absence of the inter-cell interference.Moreover,highly correlated estimation error ameliorates the outage performance under a low quality of CSI,otherwise it behaves oppositely.Afterwards,the goodput is maximized by choosing appropriate precoding matrix,receiver filters and transmission rates.In the end,the numerical results verify our analysis and corroborate the superiority of our proposed algorithm.
基金partially supported by National Key Project of China under Grants No. 2013ZX03001007-004National Natural Science Foundation of China under Grants No. 61102052,61325012,61271219,91438115 and 61221001
文摘Switch policy is essential for small cells to properly serve variable number of users in an energy efficient way.However,frequently switching small cell base stations(SBSs) may increase the network operating cost,especially when there is an nonnegligible start-up energy cost.To this end,by observing the variety of user number,we focus on the design of a switch policy which minimize the cumulative energy consumption.A given user transmission rate is guaranteed and the capability of SBSs are limited as well.According to the knowledge on user number variety,we classify the energy consumption problem into two cases.In complete information case,to minimize the cumulative energy consumption,an offline solution is proposed according to critical segments.A heuristic algorithm for incomplete information case(HAIIC) is proposed by tracking the difference of cumulative energy consumption.The upper bound of the Energy Consumption Ratio(ECR) for HAIIC is derived as well.In addition,a practical Q-learning based probabilistic policy is proposed.Simulation results show that the proposed HAIIC algorithm is able to save energy efficiently.
基金supported by National Natural Science Foundation of China under Grants No. 61371087 and 61531013The Research Fund of Ministry of Education-China Mobile (MCM20150102)
文摘Cache-enabled small cell networks have been regarded as a promising approach for network operators to cope with the explosive data traffic growth in future 5 G networks. However, the user association and resource allocation mechanism has not been thoroughly studied under given content placement situation. In this paper, we formulate the joint optimization problem of user association and resource allocation as a mixed integer nonlinear programming(MINLP) problem aiming at deriving a balance between the total utility of data rates and the total data rates retrieved from caches. To solve this problem, we propose a distributed relaxing-rounding method. Simulation results demonstrate that the distributed relaxing-rounding method outperforms traditional max-SINR method and range-expansion method in terms of both total utility of data rates and total data rates retrieved from caches in practical scenarios. In addition, effects of storage and backhaul capacities on the performance are also studied.
基金Fund supported by the Healthcare Technology Plan of Zhejiang Provincial Health Bureau(No.2016KYB292)the Technology Plan of Science and Technology Bureau of Jiaxing,Zhejiang province(No.2016AY23054)~~
文摘Objective To investigate the expression and regulation of programmed cell death protein 1(PD1),B lymphocyte and T lymphocyte attenuator(BTLA)in peripheral blood of patients with non-small cell lung cancer(NSCLC);to examine the correlation of the mRNA levels between PD and BTLA in NSCLC.Methods Flow cytometry was used to detect the expression of PD1 and BTLA on the surfaces of CD8^+T cells andγδ+T cells in the peripheral blood samples collected from 32 in-patients with stage IV NSCLC and 30 healthy individuals.We compared the expression of PD1 and BTLA on the surfaces ofγδ+T cells in the NSCLC patients with bone metastasis before and after the treatment of zoledronic acid.The correlations of PD1 and BTLA,as well as their ligands were analyzed using Pearson correlation analysis with the cBioPortal data platform.Results The frequency of PD1 on the surfaces of CD8^+T cells was significantly higher than that of theγδT cells in both healthy controls(t=2.324,P=0.024)and NSCLC patients(t=2.498,P=0.015).The frequency of PD1 on CD8^+T cells,rather than onγδ+T cells,was significantly upregulated in advanced NSCLC patients compared with that in healthy controls(t=4.829,P<0.001).The PD1+BTLA+γδT cells of the healthy controls were significantly lower than that of the NSCLC patients(t=2.422,P=0.0185).No differences in percentage of PD1+γδ+and BTLA+γδ+T cells were observed in 7 NSCLC patients with bone metastasis before and after zoledronic acid treatment.PD1 was positively correlated with BTLA in both lung adenocarcinoma(r=0.54;P<0.05)and lung squamous cell carcinoma(r=0.78;P<0.05).Conclusions The upregulation of co-inhibitory molecules occurs on the surfaces of both CD8^+T cells andγδT cells in advanced NSCLC,suggesting that these molecules were involved in regulating the inactivation of CD8^+T cells andγδ+T cells,immune escape and tumor invasion.
基金ACKNOWLEDGEMENT First, thanks for the invitation from the organ- isers of IEEE/CIC ICCC 2013 held in Xi'an, China. This work was supported by the Na- tional Natural Science Foundation of China under Grants No. 60972047, No. 61231008 the National Science and Technology Major Project under Grams No. 2011ZX03005-004, No. 2011ZX03004-003, No. 2011ZX03005- 003-03, No. 2013ZX03004007-003+4 种基金 the Shannxi 13115 Project under Grant No. 2010ZDKG-26 the National Basic Research Program of China (973 Program) under Grant No. 2009CB320404 the Program for Changjiang Scholars and Inn- ovative Research Team in University under Gr- ant No. IRT0852 the 111 Project under Grant No. B08038 and the State Key Laboratory Fou- ndation under Grants No. ISN1002005, No. ISN090305.
文摘Small cells have been regarded as an appealing technique to boost resource reuse ratio. On the other hand, their large-scale and self-organised tendency would complicate the interference environment of mobile networks. Meanwhile, traffic class is booming in recent years, which leads to higher demand for net- work designers on Quality of Service (QoS) provision, and therefore users' diverse re- quirements may not be guaranteed in sucff'an interference limited scenario. To maximise the number of users with QoS demands as well as resource reuse ratio, we formulate the resource allocation problem into a multi-objective l0 norm form. It is shown to be NP hard, and an iterative method is employed to approach the optimal solution. Because of its limit of being not adaptive to large-scale networks, we also design a heuristic method based on chordal graph, which, however, could result in per- formance loss when the size of networks is small. Finally, by combining these two meth- ods, we devise a hybrid algorithm such that the allocation performs both efficiently and effectively. Simulation results illustrate the performance of our proposed methods in terms of outage probability and resource reuse ratio.
基金supported in part by National NSF of China under Grant No.61472445,No.61631020,No.61702525 and No.61702545in part by the NSF of Jiangsu Province under Grant No.BK20140076.5
文摘With the proliferation of small and mini drones, Drone Small Cells(DSCs) can cooperative multiple drones to provide communication service for ground users as emergency means or supplementary ones of traditional terrestrial cellular networks. In this paper, we study the fundamental problem of optimizing the deployment density of DSCs to achieve the maximum coverage performance. Most related works do not consider cumulative inter-cell interference when studying the coverage performance of DSCs. First, we derive an approximate and closed-form expression of the cumulative inter-cell interference which comes from both probabilistic Line-of-Sight(Lo S) and Non-Line-of-Sight(NLo S) links. Then, we analyze the coverage performance of DSCs and derive the transcendental function of optimal deployment density to obtain the maximum coverage. Last, we propose an algorithm to get the optimal deployment density with low complexity. We conduct both field experiments and Matlab simulations to verify the correctness of theoretical analysis. In addition, we show the impact of some factors on the relation between the deployment density and coverage performance through extensive numerical simulations.
文摘Skin reaction or dermatological toxicities induced by immunotherapy is common.It usually manifests skin rash or erythema and can be cured by skin lotion or steroid.Nivolumab,a human IgG4 programmed cell death protein 1(PD-1)inhibitor,blocks T cells activation preventing signal and allows the immune system to clear cancer cells.Nivolumab was approved in the second-line therapy in squamous cell lung cancer by FDA,with less than 10%unusual skin reaction,like sensory neuropathy,peeling skin,erythema multiforme,vitiligo,and psoriasis.Radiotherapy could aggravate this skin reaction through inflammatory response and promotion of immunity.The combined treatment of anti-PD-1 and radiotherapy represented a new promising therapeutic approach in many studies,but the risk of side effects may be high.We reported a patient with advanced squamous cell lung cancer who suffered from serious skin immune-related adverse events when he was treated with nivolumab and radiotherapy.The immune overreaction of the treatment of anti-PD-1 treatment and radiotherapy might cause these serious skin adverse events.Our report warranted careful workup to reduce the risk of side effects by combinative therapy with anti-PD-1 and radiotherapy.