Penile squamous cell carcinoma · line 1 · Pembrolizumab monotherapy (MSI-H mCRC 1L)
Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.
Knowledge-base record for audit. Provisional clinical content: this is not a prescription. An oncologist must verify original sources, applicability and review status. Full rules and constraints are in the YAML.
| Line of therapy | 1 |
|---|---|
| Track | aggressive |
| Linked regimen | REG-PEMBROLIZUMAB-MSI-MONO |
| ID | IND-PENILE-SCC-METASTATIC-1L-MSI-H-PEMBRO |
|---|---|
| Type | Indication |
| Status | reviewed 2026-07-11 | pending_clinical_signoff |
| Diseases | DIS-PENILE-SCC |
| Sources | SRC-EAU-PENILE-2024 |
Notes
STUB — bonus/4th indication beyond the 3 explicitly requested in this authoring pass, added because the DIS-PENILE-SCC narrative explicitly names "pembrolizumab in MSI-H subset" and nearly every referenced entity already exists in the KB (DRUG-PEMBROLIZUMAB, REG-PEMBROLIZUMAB-MSI-MONO, BIO-MSI-STATUS, CI-PEMBROLIZUMAB-AUTOIMMUNE, RF-ACTIVE-AUTOIMMUNE-DISEASE-ICI-RISK) — low-invention-risk, high narrative fidelity. New RF-PENILE-SCC-MSI-H-ACTIONABILITY authored to gate this branch in ALGO-PENILE-SCC-1L. Independent review removed a proposed secondary citation to SRC-NCCN-BLADDER-2025 (that source is the NCCN Bladder Cancer guideline, relates_to_diseases: [DIS-UROTHELIAL] only — it does not cover penile cancer and should not be cited here; SRC-EAU-PENILE-2024 alone supports this indication). Requires medical-oncology co-lead signoff before clinical publication (CHARTER §6.1; dev-mode-exempted for draft merge).
Used By
Algorithms
ALGO-PENILE-SCC-1L- ALGO-PENILE-SCC-1L
Indication
IND-PENILE-SCC-METASTATIC-1L-CISPLATIN-5FU- IND-PENILE-SCC-METASTATIC-1L-CISPLATIN-5FUIND-PENILE-SCC-METASTATIC-1L-TIP- IND-PENILE-SCC-METASTATIC-1L-TIP