Department of Investigational Cancer Therapeutics, UT MD Anderson Cancer Center, Houston, TX, USA.
Division of Hematology and Oncology, Department of Medicine, University of California, Irvine, Orange, CA, USA.
Adv Exp Med Biol. 2021;1342:81-111. doi: 10.1007/978-3-030-79308-1_3.
Melanoma is the leading cause of death from skin cancer and is responsible for over 7000 deaths in the USA each year alone. For many decades, limited treatment options were available for patients with metastatic melanoma; however, over the last decade, a new era in treatment dawned for oncologists and their patients. Targeted therapy with BRAF and MEK inhibitors represents an important cornerstone in the treatment of metastatic melanoma; however, this chapter carefully reviews the past and current therapy options available, with a significant focus on immunotherapy-based approaches. In addition, we provide an overview of the results of recent advances in the adjuvant setting for patients with resected stage III and stage IV melanoma, as well as in patients with melanoma brain metastases. Finally, we provide a brief overview of the current research efforts in the field of immuno-oncology for melanoma.
黑色素瘤是皮肤癌导致死亡的主要原因,仅在美国,每年就有超过 7000 人因此死亡。几十年来,转移性黑色素瘤患者的治疗选择有限;然而,在过去的十年中,肿瘤学家及其患者迎来了治疗的新时代。BRAF 和 MEK 抑制剂的靶向治疗是转移性黑色素瘤治疗的重要基石;然而,这一章仔细回顾了过去和目前可用的治疗选择,重点关注基于免疫疗法的方法。此外,我们还概述了最近在辅助治疗 III 期和 IV 期黑色素瘤患者以及黑色素瘤脑转移患者方面的进展。最后,我们简要概述了黑色素瘤免疫肿瘤学领域的当前研究进展。