Cutaneous Melanoma - A Review of Systemic Therapies

被引:13
作者
Lee, Karla A. [1 ]
Nathan, Paul [2 ]
机构
[1] Kings Coll London, Dept Twin Res, London SE1 9RT, England
[2] Mt Vernon Canc Ctr, Northwood, Middx, England
关键词
melanoma; systemic therapy; targeted therapy; immunotherapy; DABRAFENIB PLUS TRAMETINIB; LONG-TERM SURVIVAL; STAGE-III; METASTATIC MELANOMA; BRAF INHIBITION; DOUBLE-BLIND; OPEN-LABEL; ADJUVANT IPILIMUMAB; CHOICE CHEMOTHERAPY; COMPLETE RESECTION;
D O I
10.2340/00015555-3496
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
This decade has brought significantly improved outcomes for patients with advanced melanoma with immunotherapies and targeted treatments offering utility in a variety of settings. In 2020, we can hope for durable long-term responses, and complete remission in a subset of patients with metastatic disease. In the adjuvant setting, approximately 50% improvements in recurrence-free survival are seen both with targeted and immunotherapies. Early data from neoadjuvant immunotherapy clinical trials are very promising. However, responses to treatment are heterogeneous and not always durable; further advances are required, and several emerging strategies are of particular interest. We review the systemic treatment of melanoma, discussing the treatment of unresectable stage III-IV and recurrent disease, outlining curative treatment of cutaneous melanoma in the adjuvant setting and briefly discussing neoadjuvant systemic therapies for advanced melanoma.
引用
收藏
页码:291 / 299
页数:9
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