Friedman Claire F, Wolchok Jedd D
Melanoma and Immunotherapeutics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center 1275 York Ave., New York, NY 10065, USA.
Melanoma and Immunotherapeutics Service, Department of Medicine, Memorial Sloan Kettering Cancer Center 1275 York Ave., New York, NY 10065, USA.
J Geriatr Oncol. 2017 Jul;8(4):237-241. doi: 10.1016/j.jgo.2017.04.003. Epub 2017 May 11.
The incidence of melanoma and associated mortality rate from advanced disease in older adults is increasing over time. Checkpoint inhibitors have demonstrated a survival benefit for the treatment of stage IV or unresectable stage III disease and have become one of the standards of care. Data suggests that adults aged 65 and older benefit from treatment with checkpoint inhibitors without an increased incidence in adverse events. However, clinicians should be aware of the potential side effects of this class of medications and how to manage them in older adults.
随着时间的推移,老年人黑色素瘤的发病率以及晚期疾病相关的死亡率都在上升。检查点抑制剂已被证明对治疗IV期或不可切除的III期疾病具有生存益处,并已成为治疗标准之一。数据表明,65岁及以上的成年人可从检查点抑制剂治疗中获益,且不良事件的发生率不会增加。然而,临床医生应了解这类药物的潜在副作用以及如何在老年人中进行处理。