Department of Surgery, Division of Endocrine and Oncologic Surgery, Hospital of the University of Pennsylvania, Maloney 4 3400 Spruce Street, Philadelphia, PA, 19104, USA.
Clin Exp Metastasis. 2024 Aug;41(4):461-464. doi: 10.1007/s10585-023-10263-1. Epub 2024 Jan 28.
The standard of care for patients with resectable stage III/IV melanoma classically included upfront resection with adjuvant therapy. However, in more recent years, the amount of systemic therapies available for neoadjuvant use for these patients has increased. This article reviewed clinical trials investigating neoadjuvant therapy for patients with resectable stage III/IV melanoma. The outcomes of these trials have identified optimal treatment regimens to maximise patient response and minimize toxicities. Additionally, the date demonstrate advantages to neoadjuvant treatment compared to adjuvant therapy alone. Further research is needed to utilize a patient's response to neoadjuvant treatment for prognostication and creation of an individualized treatment plan.
对于可切除 III/IV 期黑色素瘤患者,经典的治疗标准包括术前切除和辅助治疗。然而,近年来,可用于这些患者新辅助使用的全身性治疗方法有所增加。本文综述了用于可切除 III/IV 期黑色素瘤患者的新辅助治疗的临床试验。这些试验的结果确定了最佳的治疗方案,以最大限度地提高患者的反应并最小化毒性。此外,数据表明新辅助治疗与单独辅助治疗相比具有优势。需要进一步的研究来利用患者对新辅助治疗的反应进行预后和制定个体化治疗计划。