Zaremba A, Zimmer L, Griewank K G, Ugurel S, Roesch A, Schadendorf D, Livingstone E
Klinik und Poliklinik für Dermatologie, Venerologie und Allergologie, Universitätsklinikum Essen, Hufelandstr. 55, 45122, Essen, Deutschland.
Westdeutsches Tumorzentrum (WTZ), Universitätsklinikum Essen, Essen, Deutschland.
Internist (Berl). 2020 Jul;61(7):669-675. doi: 10.1007/s00108-020-00812-1.
Although cutaneous melanoma accounts for only about 4% of all skin cancers (including nonmelanocytic skin cancer), it is responsible for 80% of all deaths caused by skin cancer. The introduction of immune checkpoint inhibitors led to a significant improvement in long-term survival of patients in an advanced stage regardless of BRAF mutation status. In addition to targeted therapy for patients with BRAF-mutated melanoma, immunotherapies are the therapies of choice in advanced stages and, since 2018, also in the adjuvant setting. The effectiveness of combination therapies and sequences of targeted and immunotherapies are currently being tested.
尽管皮肤黑色素瘤仅占所有皮肤癌(包括非黑色素细胞性皮肤癌)的约4%,但它却导致了80%的皮肤癌相关死亡。免疫检查点抑制剂的引入显著改善了晚期患者的长期生存率,无论其BRAF突变状态如何。除了针对BRAF突变型黑色素瘤患者的靶向治疗外,免疫疗法是晚期黑色素瘤的首选治疗方法,自2018年以来,在辅助治疗中也是如此。目前正在测试联合疗法以及靶向治疗与免疫治疗的先后顺序的有效性。