Adjuvant Therapy and Neoadjuvant Therapy for Melanoma

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Cancer Therapy".

Deadline for manuscript submissions: 15 June 2025 | Viewed by 1910

Special Issue Editor


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Guest Editor
Melanoma Medical Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy
Interests: adjuvant therapy; melanoma; clinical trial

Special Issue Information

Dear Colleagues,

Adjuvant therapy and neoadjuvant therapy are two types of treatment used for melanoma, a type of skin cancer. Adjuvant therapy is used after primary treatment, such as surgery, to prevent the cancer from returning. It may involve chemotherapy, radiation therapy, or targeted therapy. Neoadjuvant therapy, on the other hand, is used before primary treatment in order to shrink the tumor and make it easier to remove. This may involve the same types of treatment as adjuvant therapy. Both adjuvant and neoadjuvant therapies have shown promising results in improving survival rates for patients with melanoma. This special issue will highlight clinical research on therapeutic strategies in melanoma.

Dr. Michele Del Vecchio
Guest Editor

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Keywords

  • adjuvant therapy
  • neoadjuvant therapy
  • melanoma
  • skin cancer
  • treatment
  • survival

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Published Papers (2 papers)

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Research

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11 pages, 1401 KiB  
Article
Role of Postoperative Radiotherapy in the Management of Localized Head and Neck Mucosal Melanoma
by Bong Kyung Bae, Jin Ho Sohn, Dongbin Ahn, Gil Joon Lee, Ji Hye Kwak, Junhee Park and Jeong Eun Lee
Cancers 2025, 17(8), 1284; https://doi.org/10.3390/cancers17081284 - 10 Apr 2025
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Abstract
Background/Objectives: To evaluate the role of postoperative radiotherapy (PORT) in the management of localized head and neck mucosal melanoma (HNMM). Methods: We retrospectively reviewed 33 patients who underwent surgery for localized HNMM between 2006 and 2023. PORT was delivered to affected anatomical structures, [...] Read more.
Background/Objectives: To evaluate the role of postoperative radiotherapy (PORT) in the management of localized head and neck mucosal melanoma (HNMM). Methods: We retrospectively reviewed 33 patients who underwent surgery for localized HNMM between 2006 and 2023. PORT was delivered to affected anatomical structures, and elective nodal irradiation was not performed. Treatment outcomes, including local recurrence-free survival (LRFS), progression-free survival (PFS), and overall survival (OS), were analyzed. Results: After surgery, 14 patients (41.4%) received PORT. During follow-up, 87.9% of patients experienced recurrence, with local and distant failures being the most common. PORT significantly improved LRFS (p = 0.047) but did not impact PFS or OS. PORT (HR 0.14, p = 0.005) and resection margin status (HR 8.71, p < 0.001) were significantly associated with LRFS in multivariable analysis. Conclusions: PORT for localized HNMM improved local control. Regional recurrence was rare (one patient, 3.4%) even though ENI was not performed. PORT without ENI could improve clinical outcomes for localized HNMM. Full article
(This article belongs to the Special Issue Adjuvant Therapy and Neoadjuvant Therapy for Melanoma)
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16 pages, 886 KiB  
Review
Female Oncofertility and Immune Checkpoint Blockade in Melanoma: Where Are We Today?
by Cha Len Lee, Erika Martinez, Diego Malon Gimenez, Thiago Pimentel Muniz, Marcus Otho Butler and Samuel David Saibil
Cancers 2025, 17(2), 238; https://doi.org/10.3390/cancers17020238 - 13 Jan 2025
Viewed by 978
Abstract
The incidence of melanoma among young adults has risen, yet mortality has declined annually since the introduction of immune checkpoint inhibitors (ICI). The utilization of peri-operative ICI has significantly altered the treatment landscape in melanoma, with PD-1 inhibitors showing promising efficacy in improving [...] Read more.
The incidence of melanoma among young adults has risen, yet mortality has declined annually since the introduction of immune checkpoint inhibitors (ICI). The utilization of peri-operative ICI has significantly altered the treatment landscape in melanoma, with PD-1 inhibitors showing promising efficacy in improving relapse-free survival rates in high-risk stage II-III disease. With the increasing use of ICI, secondary concerns have emerged regarding the impact of cancer drugs on fertility and reproductive health among women of childbearing potential, especially in early-stage cancer settings. The exclusion of pregnant women from trials contributes to limited human data and clinical uncertainties, such as maternal and fetal toxicities related to ICI exposure during pregnancy, as well as the value of fertility preservation before ICI therapy. Uncertainty persists regarding pregnancy post-adjuvant immunotherapy, given the potential detrimental effects of hormonal and immunological changes during pregnancy on melanoma relapse. There is additional uncertainty about whether pregnancy-associated melanoma (PAM) represents a distinct disease entity that warrants tailored management compared to non-pregnant cases. Our review aims to give an overview of oncofertility practices among female melanoma patients after immunotherapy. We also focus on the literature gap in the published evidence and synthesize summaries regarding ICI toxicities on reproductive health and fetal development, pregnancy planning, and recurrence risks after melanoma treatment. Full article
(This article belongs to the Special Issue Adjuvant Therapy and Neoadjuvant Therapy for Melanoma)
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