Fig. 3

The patient had new metastatic lesions after surgery but showed a response during immunotherapy. At 3 months after surgery, CT revealed metastatic lesions in both lungs and the pleura. The lung lesions were stable until November 2021 after sintilimab and anlotinib treatment. With the switch to pembrolizumab and axitinib, the lung lesion showed a partial response in October 2022