Dermatological complications of systemic therapies for melanoma Book Section


Authors: Ramelyte, E.; Dummer, R.; Libenciuc, C.; Phillips, G. S.; Lacouture, M. E.; Robert, C.
Editors: Balch, C. M.; Atkins, M. B.; Garbe, C.; Gershenwald, J. E.; Halpern, A. C.; Kirkwood, J. M.; McArthur, G. A.; Thompson, J. F.; Sober, A. J.
Article/Chapter Title: Dermatological complications of systemic therapies for melanoma
Abstract: Modern melanoma therapies, such as targeted therapy (TT) and immunotherapy (IT), proved to significantly prolong progression free and overall survival in patients with advanced melanoma. Since their approval for metastatic disease, these drugs have also been tested and met with success in the adjuvant setting. As the list of indications for systemic melanoma therapies expands, increasing numbers of patients are exposed to systemic therapies and placed at risk of developing adverse events. The skin is the organ that is most commonly affected by modern melanoma therapies. Cutaneous adverse events occur in over 95% of patients treated with BRAF inhibitors, over 90% of those treated with MEK inhibitors, and less frequently in patients undergoing combination therapy. With immune checkpointbased immunotherapy the incidence rates vary between 43.5% and 58.7% with anti- TLA-4 antibodies, 37.4–41.9% in thosereceiving anti-PD-1, and up to 70% in those receiving combination immunotherapy.is dermatologic adverse events can causesignificant morbidity, patient education, prophylaxis, timely recognition, and early intervention of adverse events are crucial in management of patients receiving modern systemic therapies. © Springer Nature Switzerland AG 2020.
Book Title: Cutaneous Melanoma. 6th ed
Volume: 1-2
ISBN: 978-3-030-05068-9
Publisher: Springer  
Publication Place: Cham, Switzerland
Date Published: 2020-01-01
Start Page: 1337
End Page: 1358
Language: English
DOI: 10.1007/978-3-030-05070-2_63
PROVIDER: scopus
DOI/URL:
Notes: This chapter can be found under "Part VII Management of Distant Metastases" -- Source: Scopus
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  1. Mario E Lacouture
    457 Lacouture
  2. Allan C Halpern
    396 Halpern