Faculty of Lisbon, University of Lisbon, Lisbon, Portugal.
Anticancer Res. 2012 Jul;32(7):2591-8.
Uveal melanoma is the most common primary intraocular malignant tumour in adults. Five, ten and fifteen years after primary tumour treatment, up to 25%, 34% and 50% of patients may develop metastases, respectively. There are only a few systemic therapies that have been approved for uveal melanoma, all with doubtful efficacy. As the molecular knowledge over cancer has improved, new therapies are being developed. Several drugs, such as bortezomib, celecoxib, dacarbazine, anti-angiogenic agents (such as bevacizumab, sorafenib and sunitinib), temsirolimus, mitogen-activated protein kinase kinase (MEK) inhibitors, ipilimumab and AEB071 are candidate drugs, and studies are underway to determine the therapeutic effects of these drugs in uveal melanoma.
葡萄膜黑色素瘤是成年人中最常见的原发性眼内恶性肿瘤。在原发性肿瘤治疗后 5 年、10 年和 15 年,分别有 25%、34%和 50%的患者可能发生转移。目前仅有少数几种全身治疗药物被批准用于葡萄膜黑色素瘤,且疗效均不确切。随着对癌症的分子认识的提高,新的治疗方法正在开发中。一些药物,如硼替佐米、塞来昔布、达卡巴嗪、抗血管生成药物(如贝伐珠单抗、索拉非尼和舒尼替尼)、替西罗莫司、丝裂原活化蛋白激酶激酶(MEK)抑制剂、伊匹单抗和 AEB071 都是候选药物,目前正在进行研究以确定这些药物在葡萄膜黑色素瘤中的治疗效果。