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A single-case report details a 60-year-old male with PD-L1-negative extensive-stage small-cell lung cancer and brainstem metastasis. The patient achieved no evidence of disease for over 20 months following treatment with the TMEp-CI-M platform, which integrates stereotactic body radiotherapy, low-dose etoposide, anlotinib, checkpoint inhibition, and microbiome modulation. Authored by Yating Wu and published under CC-BY-4.0 on figshare in June 2026.
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