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Skin Cancer01:30

Skin Cancer

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Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
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The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
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Related Experiment Video

Updated: Sep 14, 2025

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Response-Adapted Surgical and Radiotherapy De-Escalation in Resectable Cutaneous Squamous Cell Cancer Using

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Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology
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Pembrolizumab shows promise for treating cutaneous squamous cell carcinoma (cSCC). This neoadjuvant immunotherapy achieved high complete response rates, potentially allowing patients to avoid surgery and radiotherapy.

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Area of Science:

  • Oncology
  • Immunotherapy
  • Dermatology

Background:

  • Cutaneous squamous cell carcinoma (cSCC) presents a significant treatment challenge.
  • Neoadjuvant immunotherapy is emerging as a strategy to improve outcomes.
  • High pathologic complete response (pCR) rates suggest potential for treatment de-escalation.

Purpose of the Study:

  • To evaluate pembrolizumab's efficacy in resectable cutaneous squamous cell carcinoma (cSCC).
  • To assess the potential for risk-adapted, surgery- and radiotherapy-free management.
  • To reduce treatment-related morbidity in patients with cSCC.

Main Methods:

  • A phase II, multicenter study involving patients with resectable stage II-IV (M0) cSCC.
  • Pembrolizumab administered for four cycles prior to 18F-FDG-PET assessment.
  • Clinical complete response (cCR) allowed for total de-escalation; pCR allowed for partial de-escalation.

Main Results:

  • A combined clinical or pathologic complete response (cpCR) was achieved in 63% of patients (17/27).
  • Total de-escalation (no surgery/radiotherapy) in 48%; partial de-escalation in 15%.
  • No recurrence observed in patients with cpCR at 18-month median follow-up; low grade ≥3 adverse events (7%).

Conclusions:

  • Pembrolizumab demonstrated a high cpCR rate in resectable cSCC.
  • The findings support pembrolizumab's potential to enable avoidance of surgery and radiotherapy.
  • This approach may reduce treatment morbidity for cSCC patients.