Kwak Minyoung, Farrow Norma E, Salama April K S, Mosca Paul J, Hanks Brent A, Slingluff Craig L, Beasley Georgia M
Department of Surgery, University of Virginia, Charlottesville, Virginia.
Department of Surgery, Duke University, Durham, North Carolina.
J Surg Oncol. 2019 Jan;119(2):222-231. doi: 10.1002/jso.25298. Epub 2018 Nov 27.
There has been a rapid increase in adjuvant therapies approved for treatment following surgical resection of stages III/IV melanoma. We review current indications for adjuvant therapy, which currently includes a heterogenous group of stages III and IV patients with melanoma. We describe several pivotal clinical trials of systemic immune therapies, targeted immune therapies, and adjuvant vaccine strategies. Finally, we discuss the evidence for selecting the most appropriate treatment regimen(s) for the individual patient.
对于III/IV期黑色素瘤手术切除后的辅助治疗,获批的辅助治疗方法迅速增加。我们回顾了辅助治疗的当前适应症,目前该适应症包括一组异质性的III期和IV期黑色素瘤患者。我们描述了全身免疫疗法、靶向免疫疗法和辅助疫苗策略的几项关键临床试验。最后,我们讨论了为个体患者选择最合适治疗方案的证据。