martes, 24 de julio de 2018

Melanoma Treatment (PDQ®)—Health Professional Version - National Cancer Institute

Melanoma Treatment (PDQ®)—Health Professional Version - National Cancer Institute

National Cancer Institute

Melanoma Treatment (PDQ®)–Health Professional Version



SECTIONS

Changes to This Summary (07/19/2018)

The PDQ cancer information summaries are reviewed regularly and updated as new information becomes available. This section describes the latest changes made to this summary as of the date above.
Revised text to state that adjuvant therapeutic options for patients at high risk of recurrence after complete resection are expanding, building on advances seen both with immunotherapy and targeted therapies in the metastatic setting. Further revised text to state that prospective, randomized, multicenter treatment trials have demonstrated a clinically significant impact on relapse-free survival (RFS) with checkpoint inhibitors (ipilimumab, nivolumab and pembrolizumab) and combination signal transduction inhibitor therapy (dabrafenib plus trametinib).
Added text about ipilimumab.
Added text to state that although some trials of interferon alpha-2b have demonstrated an effect on RFS, both adjuvant high-dose and pegylated interferon have been shown to not improve OS in randomized trials.
Added text to state that participation in clinical trials to identify treatments that will further extend RFS and OS with less toxicity is an important option for all patients.
Added Pembrolizumab as a new subsection.
Revised text to state that secondary resistance to BRAF inhibitor monotherapy, in patients with BRAF V600 mutations, may be associated with reactivation of the mitogen-activated protein kinase (MAPK) pathway.
This summary is written and maintained by the PDQ Adult Treatment Editorial Board, which is editorially independent of NCI. The summary reflects an independent review of the literature and does not represent a policy statement of NCI or NIH. More information about summary policies and the role of the PDQ Editorial Boards in maintaining the PDQ summaries can be found on the About This PDQ Summary and PDQ® - NCI's Comprehensive Cancer Database pages.
  • Updated: July 19, 2018

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