Melanoma: Diagnosis, Staging, and Treatment. Consensus group recommendations

被引:39
作者
Berrocal, Alfonso [1 ]
Cabanas, Luis [2 ]
Espinosa, Enrique [3 ]
Fernandez-de-Misa, Ricardo [4 ]
Martin-Algarra, Salvador [5 ]
Carlos Martinez-Cedres, Jose [6 ]
Rios-Buceta, Luis [7 ]
Luis Rodriguez-Peralto, Jose [8 ]
机构
[1] Hosp Gen Univ, Dept Oncol, Valencia, Spain
[2] Hosp Ramon & Cajal, Dept Surg, E-28034 Madrid, Spain
[3] Hosp Univ La Paz, Dept Clin Oncol, Madrid, Spain
[4] Hosp Nuestra Senora Candelaria, Dept Dermatol, San Cristobal la Laguna, Spain
[5] Univ Navarra Clin, Dept Oncol, Pamplona, Spain
[6] Hosp Nuestra Senora Candelaria, Dept Radiotherapeut Oncol, San Cristobal la Laguna, Spain
[7] Hosp Ramon & Cajal, Dept Dermatol, E-28034 Madrid, Spain
[8] Hosp Univ 12 Octubre, Dept Pathol, Madrid, Spain
关键词
Diagnosis; Malignant melanoma; Oncology; Prognosis; Spain; Standards; Therapeutics; HIGH-RISK MELANOMA; CUTANEOUS MALIGNANT-MELANOMA; PIGMENTED SKIN-LESIONS; RANDOMIZED PHASE-III; ONCOLOGY-GROUP TRIAL; LOW-DOSE INTERFERON-ALPHA-2B; ADJUVANT THERAPY; IMPROVED SURVIVAL; METASTATIC MELANOMA; MELANOCYTIC NEVI;
D O I
10.1007/s12325-014-0148-2
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
100103 [病原生物学]; 100218 [急诊医学];
摘要
The incidence of malignant melanoma is increasing worldwide. In Spain, its incidence is increasing faster than any other cancer type, with a 5-year survival rate of about 85%. The impact and characteristics of malignant melanoma in the Spanish population can be ascertained from the national melanoma registry of the Academia Espaola de Dermatologia y Venereologia. This review presents consensus group recommendations for the diagnosis, staging and treatment of malignant melanoma in Spain. Incidence and mortality are discussed, as well as evaluation of various prevention and treatment strategies. Prognostic factors, such as BRAF and C-KIT mutations, which are expected to become routine staging procedures over the next few years, are outlined, especially in relation to treatment options. The use of recently approved targeted agents such as ipilimumab, a cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) inhibitor, and vemurafenib, a BRAF inhibitor, in metastatic disease are also discussed.
引用
收藏
页码:945 / 960
页数:16
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