Melanoma Adjuvant Treatment: Current Insight and Clinical Features

Title:Melanoma Adjuvant Treatment: Current Insight and Clinical Features

Volume: 18 Issue: 5

Author(s): Carmine D`Aniello, Francesco Perri, Giuseppina Della Vittoria Scarpati, Chiara Della Pepa, Salvatore Pisconti, Vincenzo Montesarchio, Nicolas Wernert, Mayra Rachele Zarone, Michele Caraglia, Gaetano Facchini*, Massimiliano Berretta and Carla Cavaliere

Affiliation:

• Division of Medical Oncology, Department of Uro-Gynaecological Oncology, Istituto Nazionale Tumori "Fondazione G. Pascale" - IRCCS, Naples,Italy

Keywords: Adjuvant treatment, biochemotherapy, immunotherapy, interferon, melanoma, radiotherapy, target therapy.

Abstract: Melanoma represents 2-3% of all cancers, 95% of them arise from skin, while only 5% are non-cutaneous melanoma. Despite an optimal surgery management, the risk of a local and systemic relapse remains high, particularly in high-risk patients (node-positive or node-negative T3b, T4 a/b). We conducted a systematic review of the main published and ongoing phase I/II/III trials between 2000 and June 2015 on the adjuvant treatment of cutaneous melanoma. The IFN remains the only option currently available for this aim. Ipilimumab represents a possible breakthrough in this setting, considering the positive results of the EORTC 18701 trials in terms of disease free survival (DFS), while data regarding OS are pending. Recent advances in the understanding of the biology of melanoma result in the identification of MAPK pathway role in the melanoma development.

Based on these features, B-RAF inhibitors and their combination with immunotherapy could represent the upcoming therapeutic strategy.

Cite this article as:

D`Aniello Carmine, Perri Francesco, Scarpati Della Vittoria Giuseppina, Pepa Della Chiara, Pisconti Salvatore, Montesarchio Vincenzo, Wernert Nicolas, Zarone Rachele Mayra, Caraglia Michele, Facchini Gaetano*, Berretta Massimiliano and Cavaliere Carla, Melanoma Adjuvant Treatment: Current Insight and Clinical Features, Current Cancer Drug Targets 2018; 18 (5) . https://dx.doi.org/10.2174/1568009617666170208163714