Department of Cutaneous Oncology, H. Lee Moffitt Cancer Center, Tampa, FL.
Melanoma Program, Kaiser Permanente Northern California, Vallejo, CA.
Am Soc Clin Oncol Educ Book. 2021 Jun;41:e295-e303. doi: 10.1200/EDBK_320301.
A diagnosis of melanoma requires multidisciplinary specialized care across all stages of disease. Although many important advances have been made for the treatment of melanoma for local and advanced disease, barriers to optimal care remain for many patients who live in areas without ready access to the expertise of a specialized melanoma center. In this article, we review some of the recent advances in the treatment of melanoma and the persistent challenges around the world that prevent the delivery of the best standard of care to patients living in the community. With the therapeutic landscape continuing to evolve and newer more complex drug therapies soon to be approved, it is important to recognize the many challenges that patients face and attempt to identify tools and policies that will help to improve treatment outcomes for their melanoma.
黑色素瘤的诊断需要在疾病的各个阶段都进行多学科的专业护理。尽管在治疗局部和晚期黑色素瘤方面已经取得了许多重要的进展,但对于许多居住在无法获得专业黑色素瘤中心专业知识的地区的患者来说,仍然存在着获得最佳治疗的障碍。在本文中,我们回顾了一些治疗黑色素瘤的最新进展,以及全球范围内仍然存在的一些持续挑战,这些挑战阻碍了向居住在社区的患者提供最佳标准的护理。随着治疗领域的不断发展,以及即将批准的更复杂的新型药物治疗,认识到患者面临的许多挑战并试图确定有助于改善其黑色素瘤治疗结果的工具和政策非常重要。