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Adjuvant nivolumab in resected oesophageal or gastroesophageal junction cancer following neoadjuvant chemoradiotherapy: Slovenian real-world data Cover

Adjuvant nivolumab in resected oesophageal or gastroesophageal junction cancer following neoadjuvant chemoradiotherapy: Slovenian real-world data

Open Access
|Apr 2026

Figures & Tables

FIGURE 1.

Histopathological assessment of squamous cell carcinoma in a 75-year-old patient following neoadjuvant therapy. (A) Haematoxylin & eosin staining (magnification ×10) reveals partially regressive changes in squamous cell carcinoma, characterized by residual tumour architecture and treatment-induced stromal alterations. (B) PD-L1 expression was evaluated via 22C3 immunohistochemistry (magnification ×40): tumor cells are predominantly PD-L1 negative (arrow), whereas scattered mononuclear inflammatory cells exhibit positive membranous staining (magnification ×20).

FIGURE 2.

Histopathological evaluation of gastroesophageal junction adenocarcinoma in a 54-year-old patient after neoadjuvant therapy. (A) Lymph node metastasis showing partial regression following neoadjuvant chemoradiotherapy. Residual viable adenocarcinoma cells are indicated by arrows, whereas fibrotic areas are marked with an asterisk (hematoxylin & eosin stain, magnification ×20). (B) PD-L1 expression was assessed via 22C3 immunohistochemistry. Arrows highlight degeneratively altered tumor cells with weak membranous PD-L1 positivity. Scattered mononuclear inflammatory cells also exhibit PD-L1 expression (magnification ×20).

Immune-related adverse events

Any gradeGrade 3 or higher
Immune related adverse event11 (65)4 (24)
Thyroiditis5 (24)0
Adrenal insufficiency2 (12)0
Colitis4 (24)3 (18)
Rash3 (18)0
Increase in AST and ALT level1 (6)0
Pneumonitis1 (6)0
Myocarditis1 (6)1 (6)

Demographic and clinical characteristics of the patients at baseline

CharacteristicN = 17 (100%)
Median age (range) - year59 (32-73)
Gender
 Male14 (82)
 Female3 (18)
ECOG performance status
 015 (88)
 12 (12)
Disease stage at initial diagnosis
 II4 (24)
 III13 (76)
Disease stage at initial diagnosis
 Oesophagus9 (53)
 Gastroesophageal junction8 (47)
Histological type
 Adenocarcinoma12 (71)
 Squamous-cell carcinoma5 (29)
Pathological lymph-node status
 ypN06 (35)
 ≥ ypN111 (65)
Pathological tumour status
 ypT01 (6)
 ypT1 or ypT25 (29)
 ypT3 or ypT411 (65)
Tumour-cell PD-L1 expression
 < 15 (29)
 ≥ 112 (71)
DOI: https://doi.org/10.2478/raon-2026-0020 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Submitted on: Oct 2, 2025
Accepted on: Dec 2, 2026
Published on: Apr 16, 2026
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2026 Nezka Hribernik, Rozala Arko, Gorana Gasljevic, Martina Rebersek, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.

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