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Updated: May 25, 2026

08:49
A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
In-transit melanoma: an individualized approach
Travis E Grotz1, Aaron S Mansfield, Lisa A Kottschade
1Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.
Oncology (Williston Park, N.Y.)
|February 15, 2012
Summary
In-transit melanoma, a type of locoregional recurrence, involves lymphatic spread. This summary outlines an institutional algorithm for individualized treatment of these challenging melanoma metastases.
Area of Science:
- Oncology
- Dermatology
- Surgical Oncology
Background:
- Locoregional recurrences in melanoma commonly manifest as intradermal or subcutaneous metastases.
- In-transit melanoma involves lymphatic space contamination and offers potential for long-term cure in some patients with treatment.
- Managing in-transit melanoma is complex due to variations in lesion characteristics and biological behavior, with limited high-level evidence guiding treatment.
Purpose of the Study:
- To present an institutional treatment algorithm for managing in-transit melanoma.
- To provide a framework for individualizing treatment strategies based on patient presentation.
Main Methods:
- Development of a clinical treatment algorithm for in-transit melanoma.
- Individualization of treatment based on lesion number, depth, location, distribution, and biological behavior.
Main Results:
- The presented algorithm allows for tailored management of in-transit melanoma.
- Individualized treatment approaches are crucial given the heterogeneity of the disease.
Conclusions:
- An institutional algorithm can guide the complex management of in-transit melanoma.
- Personalized treatment strategies are essential for optimizing outcomes in patients with in-transit melanoma.
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