Neoadjuvant ipilimumab plus nivolumab therapy as a potential organ preservation strategy in mucosal melanoma: case report

被引:0
作者
Ong, Claire [1 ]
Samlowski, Wolfram [1 ,2 ,3 ]
机构
[1] Univ Nevada Las Vegas UNLV, Kirk Kerkorian Sch Med, Las Vegas, NV 89154 USA
[2] Comprehens Canc Ctr Nevada, Las Vegas, NV 89169 USA
[3] Univ Nevada, Sch Med, Dept Internal Med, Reno, NV 89557 USA
来源
FRONTIERS IN ONCOLOGY | 2024年 / 14卷
基金
美国国家卫生研究院;
关键词
neoadjuvant therapy; checkpoint inhibitors; sinonasal melanoma; rectal melanoma; organ preservation; PHASE-II; KIT; IMMUNOTHERAPY; CANCER; NILOTINIB; ONCOLOGY; DISEASE; NECK; HEAD;
D O I
10.3389/fonc.2024.1301424
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Mucosal melanoma represents an uncommon melanoma subtype. Wide excision has long represented the standard therapeutic approach. Unfortunately, there is a high relapse rate and mortality. Neoadjuvant therapy with ipilimumab plus nivolumab has shown significant activity in cutaneous melanoma. We present two cases of mucosal melanoma, each with potential regional dissemination, who were treated with neoadjuvant immunotherapy with minimal toxicity. Both patients were closely monitored and achieved radiologic and pathologic complete responses. These patients were able to avoid radical surgery and related functional consequences. Both patients remain recurrence-free with protracted follow-up. The potential usefulness of neoadjuvant immunotherapy as an organ preservation strategy in mucosal melanoma deserves further evaluation in prospective clinical trials.
引用
收藏
页数:6
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