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A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
The evolution in melanoma treatment as a reflection of precision-oriented medicine
1Department of Oncology, Tel Aviv Sourasky Medical Center, Tel Aviv 64239, Israel.
Abstract:
Until recently, metastatic melanoma was a disease with limited treatment options and a poor prognosis. Dacarbazine was accepted as the standard treatment for melanoma in the 1970s, and despite inducing an overall survival of approximately 7.4 months, it remained so until relatively recently. In the last few years, significant advances in the molecular understanding of this disease have facilitated the development of novel and promising drugs. Precision-oriented medicine is currently revolutionizing the practice of oncology. Targeted therapies have demonstrated great potential in treating melanoma and various other types of cancer, including breast, colorectal and non-small cell lung cancer. Here, we review the evolution of melanoma treatment from single-agent chemotherapy to combination therapy, the emergence of immunotherapy in melanoma and the development of targeted therapies, such as the use of the BRAF inhibitor as a treatment agent. The ability to treat melanoma according to the fingerprint of the tumor reflects an overall change in the practice of oncology.
Insights
Melanoma treatment has evolved from dacarbazine chemotherapy to advanced targeted therapies and immunotherapies. This shift reflects a move towards precision medicine, improving patient outcomes in metastatic melanoma.
Area of Science:
- Oncology
- Dermatology
- Molecular Biology
Background:
- Metastatic melanoma historically had limited treatment options and a poor prognosis.
- Dacarbazine was the standard chemotherapy for melanoma, offering limited survival benefits (approx. 7.4 months).
- Recent molecular understanding has driven the development of novel melanoma therapies.
Purpose of the Study:
- To review the evolution of melanoma treatment strategies.
- To highlight the emergence of targeted therapies and immunotherapy.
- To discuss the impact of precision medicine on melanoma care.
Main Methods:
- Literature review of melanoma treatment advancements.
- Analysis of treatment evolution from chemotherapy to targeted agents.
- Examination of immunotherapy and BRAF inhibitor development.
Main Results:
- Significant advances in molecular understanding have led to new drugs.
- Targeted therapies show promise in melanoma and other cancers.
- Precision medicine allows for tumor-specific treatment approaches.
Conclusions:
- Melanoma treatment has transformed from single-agent chemotherapy to combination therapies, immunotherapy, and targeted agents.
- The development of BRAF inhibitors exemplifies targeted therapy success.
- Treating melanoma based on tumor molecular profiling signifies a paradigm shift in oncology practice.
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