The prognostic significance of BRAF mutation status in stage IIIB–C melanoma

M. Niebling, K. Wevers, H. Hoekstra
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引用次数: 3

Abstract

Evaluation of: Moreau S, Saiag P, Aegerter P et al. Prognostic value of BRAF (V600) mutations in melanoma patients after resection of metastatic lymph nodes. Ann. Surg. Oncol. 19(13), 4314–4321 (2012).Recently introduced systemic agents have shown promising results in melanoma patients with distant metastases. However, the durability of the effect of these agents is still disappointing. In melanoma patients with palpable regional lymph node metastases, these new systemic drugs might induce longer efficacy as tumor load is low compared to patients with distant metastases. However, before administering these potentially toxic and still very expensive systemic drugs the selection of patients who will most probably benefit from them is important. In this key paper evaluation, the use of BRAF mutation status as a prognostic marker in stage III melanoma is discussed.
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BRAF突变状态在IIIB-C期黑色素瘤中的预后意义
评价:Moreau S, Saiag P, aegter P等。BRAF (V600)突变在黑色素瘤患者转移性淋巴结切除后的预后价值。安。中华外科杂志19(13),4314-4321(2012)。最近引进的全身性药物在远处转移的黑色素瘤患者中显示出良好的效果。然而,这些药剂的持久效果仍然令人失望。在可触及区域淋巴结转移的黑色素瘤患者中,由于肿瘤负荷较低,与远处转移患者相比,这些新的全身药物可能会诱导更长的疗效。然而,在使用这些具有潜在毒性且仍然非常昂贵的全身药物之前,选择最有可能从中受益的患者是很重要的。在这篇关键的论文评估中,我们讨论了BRAF突变状态作为III期黑色素瘤预后标志物的使用。
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