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Updated: Dec 24, 2025

A 3D Organotypic Melanoma Spheroid Skin Model
Published on: May 18, 2018
Emerging strategies to treat rare and intractable subtypes of melanoma
Gretchen M Alicea1, Vito W Rebecca1
1The Wistar Institute, Philadelphia, PA, USA.
Abstract:
Melanoma is the deadliest form of skin cancer, possessing a diverse landscape of subtypes with distinct molecular signatures and levels of aggressiveness. Although immense progress has been achieved therapeutically for patients with the most common forms of this disease, little is known of how to effectively treat patients with rarer subtypes of melanoma. These subtypes include acral lentiginous (the rarest form of cutaneous melanoma; AL), uveal, and mucosal melanomas, which display variations in distribution across (a) the world, (b) patient age-groups, and (c) anatomic sites. Unfortunately, patients with these relatively rare subtypes of melanoma typically respond worse to therapies approved for the more common, non-AL cutaneous melanoma and do not have effective alternatives, and thus consequently have worse overall survival rates. Achieving durable therapeutic responses in these high-risk melanoma subtypes represents one of the greatest challenges of the field. This review aims to collate and highlight effective preclinical and/or clinical strategies against these rare forms of melanoma.
Insights
Rarer melanoma subtypes like acral lentiginous (AL), uveal, and mucosal melanomas are aggressive and poorly treated. This review highlights strategies to improve outcomes for these challenging rare melanoma cases.
Area of Science:
- Oncology
- Dermatology
- Cancer Research
Background:
- Melanoma, a deadly skin cancer, has diverse subtypes with varying aggressiveness.
- Effective treatments exist for common melanomas, but rarer subtypes like acral lentiginous (AL), uveal, and mucosal melanomas lack targeted therapies.
- These rare melanomas show different global distributions, affect varied age groups, and occur at distinct anatomic sites, often leading to poorer patient outcomes.
Purpose of the Study:
- To review and synthesize current preclinical and clinical strategies for treating rare melanoma subtypes.
- To address the therapeutic challenges and improve survival rates for patients with AL, uveal, and mucosal melanomas.
- To provide a comprehensive overview of effective approaches for these aggressive and understudied melanoma forms.
Main Methods:
- Literature review of preclinical studies and clinical trials.
- Analysis of therapeutic strategies targeting rare melanoma subtypes.
- Collating data on treatment efficacy and patient outcomes.
Main Results:
- Rare melanoma subtypes exhibit distinct molecular profiles and clinical behaviors.
- Current therapies for common melanomas are often ineffective against rare subtypes.
- Emerging preclinical and clinical strategies show promise for improving treatment responses.
Conclusions:
- Developing effective treatments for rare melanoma subtypes remains a significant challenge.
- Targeted therapeutic strategies are crucial for improving outcomes in acral lentiginous, uveal, and mucosal melanomas.
- Further research and clinical trials are needed to establish durable responses in these high-risk melanoma populations.
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