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Updated: May 1, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Recent developments in the medical and surgical treatment of melanoma
Vita Saranga-Perry1, Chenwi Ambe, Jonathan S Zager
1Fellow in Hematology/Oncology, Department of Cutaneous Oncology, Moffitt Cancer Center, University of South Florida, Tampa, FL.
Abstract:
Increasing knowledge of the biology of melanoma has led to significant advances in drug development to fight this disease. Surgery is the primary treatment for localized disease and is an integral part of management in patients with more advanced disease. The last decade has become the era of targeted therapy in melanoma and has revolutionized the treatment of this disease. Since 2011, 4 new agents have been approved for the treatment of patients with metastatic melanoma: ipilimumab, vemurafenib, dabrafenib, and trametinib. Several new agents are currently in phase 3 trials with hopes of even more agents being approved for this once "untreatable" disease. How to integrate surgical options with more effective systemic therapies has become a new challenge for physicians. This review will provide an update on current surgical options, highlight the pathway to the development of the newly approved agents, and further discuss new treatments that are on the horizon.
Insights
Advances in melanoma treatment include new targeted therapies and surgical options. This review covers current surgical approaches, newly approved agents like ipilimumab, and future melanoma drug developments.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Background:
- Melanoma treatment has evolved significantly due to increased biological understanding.
- Surgery remains crucial for localized melanoma and advanced disease management.
- The past decade has seen targeted therapy revolutionize melanoma treatment.
Purpose of the Study:
- To review current surgical options for melanoma.
- To highlight the development pathway of newly approved melanoma agents.
- To discuss emerging treatments on the horizon for melanoma.
Main Methods:
- Literature review of surgical techniques in melanoma.
- Analysis of the development and approval of targeted melanoma therapies since 2011.
- Exploration of ongoing clinical trials for novel melanoma treatments.
Main Results:
- Four new agents (ipilimumab, vemurafenib, dabrafenib, trametinib) approved since 2011 for metastatic melanoma.
- Multiple new agents are in Phase 3 trials, indicating continued progress.
- Integration of surgery with systemic therapies presents a new clinical challenge.
Conclusions:
- Significant progress in melanoma treatment, particularly with targeted therapies.
- Future directions involve optimizing the combination of surgery and novel systemic agents.
- Ongoing research promises further advancements for previously untreatable melanoma.
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