不可切除的局部晚期III期黑色素瘤患者术前BRAF抑制

IF 1 Q4 ONCOLOGY Melanoma Management Pub Date : 2018-05-16 eCollection Date: 2018-06-01 DOI:10.2217/mmt-2018-0002

Marloes Faut, Mathilde Jalving, Gilles F Diercks, Geke A Hospers, Barbara L van Leeuwen, Lukas B Been

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引用次数: 2

摘要

目的:使用BRAF抑制剂对局部晚期疾病进行新辅助治疗有望增加R0切除的可能性。我们介绍了6例III期不可切除黑色素瘤患者，用BRAF抑制剂进行新辅助治疗。方法:2012年至2015年间，不可切除的BRAF突变III期黑色素瘤患者接受BRAF抑制剂治疗。根据临床和/或放射学结果确定不可切除性。在最大反应时，进行手术切除。对试样进行了检查，以确定反应程度。结果:6例患者中有5例获得根治性切除。术后并发症无明显差异。在6个切除的标本中，有5个发现了重要的肿瘤组织。结论:BRAF抑制剂新辅助治疗局部晚期黑色素瘤是可行的，并有可能促进R0切除术。

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Preoperative BRAF inhibition in patients with irresectable locally advanced stage III melanoma.

Aim: Neoadjuvant treatment of locally advanced disease with BRAF inhibitors is expected to increase the likelihood of a R0 resection. We present six patients with stage III unresectable melanoma, neoadjuvantly treated with BRAF inhibitors.

Methods: Patients with unresectable, BRAF-mutated, stage III melanoma, were treated with BRAF inhibitors between 2012 and 2015. Unresectability was determined based on clinical and/or radiological findings. At maximal response, resection was performed. The specimen was reviewed to determine the degree of response.

Results: In five of six patients a radical resection was achieved. Postoperative complications were unremarkable. In five of six resected specimens, vital tumor tissue was found.

Conclusion: Neoadjuvant BRAF inhibitor treatment of locally advanced melanoma is feasible and has the potential to facilitate an R0 resection.

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来源期刊

Melanoma Management ONCOLOGY-

CiteScore

5.10

自引率

0.00%

发文量

审稿时长

13 weeks

期刊介绍： Skin cancer is on the rise. According to the World Health Organization, 132,000 melanoma skin cancers occur globally each year. While early-stage melanoma is usually relatively easy to treat, once disease spreads prognosis worsens considerably. Therefore, research into combating advanced-stage melanoma is a high priority. New and emerging therapies, such as monoclonal antibodies, B-RAF and KIT inhibitors, antiangiogenic agents and novel chemotherapy approaches hold promise for prolonging survival, but the search for a cure is ongoing. Melanoma Management publishes high-quality peer-reviewed articles on all aspects of melanoma, from prevention to diagnosis and from treatment of early-stage disease to late-stage melanoma and metastasis. The journal presents the latest research findings in melanoma research and treatment, together with authoritative reviews, cutting-edge editorials and perspectives that highlight hot topics and controversy in the field. Independent drug evaluations assess newly approved medications and their role in clinical practice. Key topics covered include: Risk factors, prevention and sun safety education Diagnosis, staging and grading Surgical excision of melanoma lesions Sentinel lymph node biopsy Biological therapies, including immunotherapy and vaccination Novel chemotherapy options Treatment of metastasis Prevention of recurrence Patient care and quality of life.