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Updated: Apr 12, 2026

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
[Cutaneous malignant melanoma and the new drugs]
Omgo E Nieweg1, José Francisco Gallegos-Hernández2
1Melanoma Institute Australia.
Abstract:
The treatment of cutaneous melanoma has historically been essentially surgical. Much progress has been made in this area, and the resection margins have been established based on tumour depth. Candidates are also identified for lymphadenectomy, avoiding the morbidity of the procedure in patients who do not require it. But little progress has been made in systemic treatment, since the 70's when the use of dacarbazine was introduced for the treatment of patients with tumour progression or distant metastasis, with disappointing results. Despite this, Dacarbazine has been the most used drug to the present. Three years ago, two new drugs were introduced, one of them based on the target therapy and other one in the immunotherapy, offering, with the obtained results, an alternative in the treatment of cutaneous melanoma The objectives of this article are to show the pathways of these drugs, to describe the current role of surgery in cutaneous melanoma, with the arrival of these drugs, as well as to know the therapeutic alternatives that are emerging for the cutaneous melanoma based on scientific evidence.
Insights
Recent advances in targeted therapy and immunotherapy offer new systemic treatment options for cutaneous melanoma, complementing established surgical approaches. These novel drugs provide alternatives for patients with tumor progression or distant metastasis.
Area of Science:
- Oncology
- Dermatology
- Pharmacology
Context:
- Cutaneous melanoma treatment has historically relied on surgery, with established resection margins and lymphadenectomy criteria.
- Systemic treatment options for advanced cutaneous melanoma have seen limited progress since the introduction of dacarbazine in the 1970s.
Purpose:
- To review the evolving role of surgery in cutaneous melanoma management.
- To elucidate the mechanisms of action for newly introduced targeted therapy and immunotherapy drugs.
- To present emerging therapeutic alternatives for cutaneous melanoma based on scientific evidence.
Summary:
- While surgery remains crucial for cutaneous melanoma, systemic treatments have lagged until recently.
- Dacarbazine, used since the 1970s for advanced disease, has shown disappointing results.
- New targeted therapy and immunotherapy drugs, introduced in the last three years, offer improved outcomes and alternatives for advanced cutaneous melanoma.
Impact:
- Highlights the significant advancements in systemic treatment for cutaneous melanoma.
- Provides a comprehensive overview of current and emerging therapeutic strategies.
- Informs clinicians about novel treatment options and their potential impact on patient outcomes.
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