Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, USA.
J Surg Oncol. 2021 Mar;123(3):789-797. doi: 10.1002/jso.26329.
Surgical resection is the treatment for early cutaneous melanoma and is often curative. Some patients, however, will subsequently relapse. High-risk features in the primary tumor and regional lymph node metastasis highlight patient subsets that are at increased risk for recurrent disease. Immunotherapy in the form of checkpoint inhibitors ipilimumab, nivolumab, and pembrolizumab have been shown to improve recurrence-free survival for node-positive melanoma in the adjuvant setting and will be the focus of this review.
手术切除是早期皮肤黑色素瘤的治疗方法,通常具有治愈性。然而,有些患者随后会复发。原发性肿瘤和区域淋巴结转移的高危特征突出了复发风险增加的患者亚组。以检查点抑制剂伊匹单抗、纳武单抗和帕博利珠单抗为形式的免疫疗法已被证明可改善辅助治疗中淋巴结阳性黑色素瘤的无复发生存率,这将是本综述的重点。