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Isolated Hepatic Perfusion as a Treatment for Liver Metastases of Uveal Melanoma
Published on: January 25, 2015
Systemic Treatment of Metastatic Conjunctival Melanoma
Simão Pinto Torres1, Teresa André2, Emanuel Gouveia2
1Department of Medical Oncology, Hospital Professor Doutor Fernando Fonseca E.P.E., 2720-276 Amadora, Portugal.
Abstract:
Conjunctival melanoma (CM) is an exceptionally rare tumor, with a propensity for local and distant recurrence, with the lungs, skin, liver, and brain being the most common sites of metastasis. Recent progress in systemic treatments, with checkpoint inhibitors and targeted therapies blocking BRAF and MEK, has redefined the standard of care of advanced unresectable and metastatic melanoma. Although most trials did not include patients with conjunctival melanoma, its close molecular and genetic relationship to cutaneous melanoma might suggest a similar response to these novel agents. The authors describe two uncommon cases of metastatic conjunctival melanomas with distinct genetic profiles and, as such, submitted to different systemic treatments.
Insights
Conjunctival melanoma (CM) is a rare cancer that often recurs. Novel systemic therapies, like checkpoint inhibitors and BRAF/MEK targeted treatments, show promise for advanced CM, similar to cutaneous melanoma.
Area of Science:
- Ophthalmology
- Oncology
- Genetics
Background:
- Conjunctival melanoma (CM) is an exceptionally rare malignancy.
- CM has a high propensity for local and distant recurrence, with common metastatic sites including lungs, skin, liver, and brain.
Observation:
- Recent advancements in systemic treatments, including checkpoint inhibitors and targeted therapies (BRAF/MEK), have significantly improved care for advanced and metastatic melanoma.
- While CM patients are often excluded from clinical trials, its molecular and genetic similarities to cutaneous melanoma suggest potential efficacy of these novel agents.
Findings:
- The authors present two rare cases of metastatic conjunctival melanoma with unique genetic profiles.
- These distinct genetic profiles led to the patients receiving different systemic treatment regimens.
Implications:
- These cases highlight the potential for novel systemic therapies in managing metastatic conjunctival melanoma.
- Further research into the molecular drivers and treatment responses in CM is warranted to optimize patient outcomes.
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