Pooja Patel, Colton Boudreau, Samuel Jessula, Madelaine Plourde
{"title":"Primary esophageal melanoma: a case report.","authors":"Pooja Patel, Colton Boudreau, Samuel Jessula, Madelaine Plourde","doi":"10.2217/mmt-2022-0002","DOIUrl":"https://doi.org/10.2217/mmt-2022-0002","url":null,"abstract":"<p><p>Primary esophageal melanoma remains a rare entity with less than 350 case reports noted in the current literature. This diagnosis is associated with a poor prognosis and early detection and management remains fundamental. In this report, we examine the case of an 80-year-old female who presented with a 1-year course of progressive dysphagia and weight loss. Investigations revealed a primary esophageal melanoma with no evidence of metastases. Pathology did not identify any targetable markers for systematic therapy and thus the patient successfully underwent a minimally invasive esophagectomy. Her postoperative course involved endoscopic esophageal dilatations due to an anastomotic stricture, as well as primary lung adenocarcinoma treated with radiotherapy but has otherwise remained without evidence of melanoma recurrence after 25 months from her surgery.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"9 4","pages":"MMT63"},"PeriodicalIF":3.6,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/84/mmt-09-63.PMC10291394.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10086021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melanoma ManagementPub Date : 2022-09-16eCollection Date: 2022-09-01DOI: 10.2217/mmt-2022-0003
Basil K Williams, Jennifer J Siegel, Katherina M Alsina, Lauren Johnston, Amanda Sisco, Kyleigh LiPira, Sara M Selig, Peter G Hovland
{"title":"Uveal melanoma patient attitudes towards prognostic testing using gene expression profiling.","authors":"Basil K Williams, Jennifer J Siegel, Katherina M Alsina, Lauren Johnston, Amanda Sisco, Kyleigh LiPira, Sara M Selig, Peter G Hovland","doi":"10.2217/mmt-2022-0003","DOIUrl":"https://doi.org/10.2217/mmt-2022-0003","url":null,"abstract":"<p><strong>Aim: </strong>This study explored uveal melanoma patient experiences and regret following molecular prognostic testing using a 15-gene expression profile (GEP) test.</p><p><strong>Materials & methods: </strong>A retrospective, cross-sectional survey study was conducted through an online questionnaire capturing patient-reported experiences with prognostic biopsy/molecular testing.</p><p><strong>Results: </strong>Of 177 respondents, 159 (90%) wanted prognostic information at diagnosis. Most 15-GEP-tested patients who shared their results (99%) reported gaining value from testing, as did patients tested with other methods. Patients who received prognostic testing experienced lower decision regret than those who opted out. Decision regret did not differ based on GEP class.</p><p><strong>Conclusion: </strong>Most uveal melanoma patients desire prognostic testing and gain value from the GEP, independent of a high- or low-risk result.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"9 3","pages":"MMT62"},"PeriodicalIF":3.6,"publicationDate":"2022-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c8/d2/mmt-09-62.PMC9490505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33477752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melanoma ManagementPub Date : 2022-06-30eCollection Date: 2022-06-01DOI: 10.2217/mmt-2021-0006
Fredrik J Landström, Frida E Jakobsson, Stefan J Kristiansson
{"title":"Successful electrochemotherapy treatment of a large bleeding lymph node melanoma metastasis.","authors":"Fredrik J Landström, Frida E Jakobsson, Stefan J Kristiansson","doi":"10.2217/mmt-2021-0006","DOIUrl":"https://doi.org/10.2217/mmt-2021-0006","url":null,"abstract":"<p><p>Despite the progress in immunotherapy and targeted therapy for patients with cutaneous malignant melanoma not all patients with loco-regional recurrences will respond to treatment. Electrochemotherapy is a relatively new treatment modality where the efficacy of a chemotherapeutic drug is enhanced by an electrical field. Here we report a case of a 68-year-old woman with a large therapy resistant inguinal lymph node melanoma metastasis complicated by bleeding that was successfully treated with electrochemotherapy.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"9 2","pages":"MMT61"},"PeriodicalIF":3.6,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/03/24/mmt-09-61.PMC9260494.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40591874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Kartolo, Cynthia Yeung, M. Kuksis, W. Hopman, T. Baetz
{"title":"Improved overall survival in dual compared to single immune checkpoint inhibitors in BRAF V600-negative advanced melanoma","authors":"A. Kartolo, Cynthia Yeung, M. Kuksis, W. Hopman, T. Baetz","doi":"10.2217/mmt-2021-0005","DOIUrl":"https://doi.org/10.2217/mmt-2021-0005","url":null,"abstract":"Aim: To evaluate the efficacy of dual versus single immune checkpoint inhibitors (ICI) in BRAF wild-type advanced melanoma patients. Materials & methods: A retrospective study of all advanced BRAF wild-type melanoma patients on palliative-intent ICI between 2015 and 2020 (n = 67). Results: Dual ICI had better overall survival (OS) when compared with single ICI in BRAF wild-type patients (hazard ratio: 0.204; 95% CI: 0.064–0.649; p = 0.007), but lost its statistical significance (median OSl not reached vs 20.9 months; p = 0.213; adjusted hazard ratio: 0.475; 95% CI: 0.164–1.380; p = 0.171) when only including patients treated after 2018 when dual ICI was funded in our province. Dual ICI were significantly associated with more frequent (p = 0.005) and severe (p = 0.026) immune-related adverse events, and required more immune-related adverse events-indicated systemic corticosteroid use (p < 0.001) compared with single ICI. Conclusion: While limited by small sample size and retrospective nature, dual ICI may have non statistically significant trend toward better OS efficacy when compared with single ICI in BRAF V600 wild-type advanced melanoma patients.","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46747801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Léa El Haddad, Tarek Souaid, Diana Kadi, Joya-Rita Hindy, K. Souaid, H. Kourie, R. Tomb
{"title":"Knowledge and behavior of Lebanese parents regarding melanoma prevention in public and private school children","authors":"Léa El Haddad, Tarek Souaid, Diana Kadi, Joya-Rita Hindy, K. Souaid, H. Kourie, R. Tomb","doi":"10.2217/mmt-2021-0002","DOIUrl":"https://doi.org/10.2217/mmt-2021-0002","url":null,"abstract":"Aim: Assess the knowledge and behavior of Lebanese parents when it comes to melanoma and its prevention in children. Methods: A survey, to be completed by parents, was sent through children from three schools. Results: During sun exposure only 23.5% of 1012 respondents were always covering enough areas of their children's skin and 74.1% did not always apply sunscreen to their children. Parents of private school children were three times more likely to apply sunscreen to their children when exposed to sun, four times more likely to reapply sunscreen every 2–3 h and 21 times more likely to use a higher sun protection factor. Conclusion: Sun protection in children is insufficient and sunburns are frequent, illustrating the need for melanoma awareness campaigns.","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42588887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melanoma ManagementPub Date : 2021-07-09eCollection Date: 2021-09-01DOI: 10.2217/mmt-2021-0001
Kermit S Zhang, Tomer Pelleg, Sabrina Campbell, Catalina Rubio, Anthony Lukas Loschner, Susanti Ie
{"title":"Pulmonary metastatic melanoma: current state of diagnostic imaging and treatments.","authors":"Kermit S Zhang, Tomer Pelleg, Sabrina Campbell, Catalina Rubio, Anthony Lukas Loschner, Susanti Ie","doi":"10.2217/mmt-2021-0001","DOIUrl":"https://doi.org/10.2217/mmt-2021-0001","url":null,"abstract":"<p><p>Melanoma is the deadliest form of skin cancer with an estimated incidence of over 160,000 cases annually and about 41,000 melanoma-related deaths per year worldwide. Malignant melanoma (MM) primarily occurs in the skin but has been described in other organs. Although the respiratory system is generally afflicted by tumors such as lung cancer, it is also rarely affected by primary MM. The estimated incidence of pulmonary MM of the lung accounts for 0.01% of all primary lung tumors. The current understanding of pulmonary MM of the lung pathophysiology and its management are not well established. We aim to survey current clinical modalities with a focus on diagnostic imaging and therapeutic intervention to guide providers in the management of patients with a high index of suspicion.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"8 3","pages":"MMT58"},"PeriodicalIF":3.6,"publicationDate":"2021-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/ad/mmt-08-58.PMC8656320.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melanoma ManagementPub Date : 2021-06-17eCollection Date: 2021-09-01DOI: 10.2217/mmt-2020-0013
Matthew J Hadfield, Alla Turshudzhyan, Jane M Grant-Kels
{"title":"Evolving treatments and future therapeutic targets in desmoplastic melanoma.","authors":"Matthew J Hadfield, Alla Turshudzhyan, Jane M Grant-Kels","doi":"10.2217/mmt-2020-0013","DOIUrl":"https://doi.org/10.2217/mmt-2020-0013","url":null,"abstract":"Desmoplastic melanoma (DM) is a rare and histopathologically distinct type of melanoma that is a subvariant of spindle cell melanoma [1]. It has a strong association with chronic sun exposure and usually occurs later in life. Incidence is reported to be less than four percent of cutaneous melanomas. Early diagnosis can be challenging because DM is predominantly dermal and often amelanotic [2]. The diagnosis can be difficult not only clinically but also histologically, as DM can be mistaken for a variety of benign and malignant nonmelanocytic spindle cell tumors. Histology of DM is divided into pure and mixed types, and this classification plays an important role in prediction of clinical outcomes [3]. Pure DM tends to have less potential for metastasis and as a result has a more favorable prognosis than mixed DM [4]. DM commonly demonstrates local invasion with poor circumscription due to its infiltrative nature which results in a high recurrence rate. It primarily affects patients with fair skin with age distribution of 60–80 years old and male-to-female ratio of two–one [5]. The overall survival for patients with DM is relatively favorable despite its depth at diagnosis with median survival at 5 and 10 years of 84.8 and 79.2 %, respectively [6]. Advanced age of the patient, higher stage of the tumor as well as increased Breslow depth were found to be independent positive factors associated with DM [7]. While established DM treatment options are surgical excision, sentinel lymph node biopsy, systemic chemotherapy and radiation therapy, a number of genetic mutations associated with DM have shown it to be responsive to targeted therapies. This review will focus on the future of DM therapy, which lies in better targeted therapy approaches and better penetration into the tumor core leading to more robust responses to therapeutic agents.","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"8 3","pages":"MMT56"},"PeriodicalIF":3.6,"publicationDate":"2021-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/12/23/mmt-08-56.PMC8656346.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39582102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tawnya L Bowles, Carol Sweeney, John Snyder, Jesse Gygi, Brad Bott, Daniel Wray, Timothy J Yeatman, William T Sause
{"title":"Impact of rurality on melanoma diagnosis in Utah.","authors":"Tawnya L Bowles, Carol Sweeney, John Snyder, Jesse Gygi, Brad Bott, Daniel Wray, Timothy J Yeatman, William T Sause","doi":"10.2217/mmt-2020-0023","DOIUrl":"https://doi.org/10.2217/mmt-2020-0023","url":null,"abstract":"<p><strong>Aim: </strong>To analyze trends in Utah melanoma diagnosis and study the impact of rurality.</p><p><strong>Patients & methods: </strong>State-wide melanoma incidence was calculated using Surveillance, Epidemiology, and End Results data (2005-2013). A subset of 5199 patients treated in an integrated healthcare system was further stratified for urban or rural residence.</p><p><strong>Results: </strong>Early-stage tumors accounted for most of the increase in melanoma incidence over time. Age-adjusted melanoma incidence rate was higher in rural counties (46.7 vs 39.4). Anatomic site and stage did not differ between rural and urban patients. Rural patients were more commonly diagnosed by a local primary care provider.</p><p><strong>Conclusion: </strong>Rurality had an impact on melanoma diagnosis in the specialty and location of the diagnosing provider.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"8 2","pages":"MMT56"},"PeriodicalIF":3.6,"publicationDate":"2021-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/59/mmt-08-56.PMC8162144.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39060449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"BRAF-MEK inhibitors as steroid-sparing bridge prior to checkpoint blockade therapy in symptomatic intracranial melanoma.","authors":"Karam Khaddour, Tanner M Johanns, George Ansstas","doi":"10.2217/mmt-2020-0022","DOIUrl":"https://doi.org/10.2217/mmt-2020-0022","url":null,"abstract":"<p><p>The introduction of immune checkpoint blockade (ICB) and BRAF-MEK inhibitors has substantially improved outcomes in patients with metastatic melanoma. However, several challenging factors may hinder the efficacy of ICB in patients with symptomatic intracranial metastatic melanoma who are immunosuppressed due to the use of steroids prior to the administration of ICB. This has resulted in the exclusion of patients treated with high dose steroid at baseline from the majority of ICB clinical trials. In addition, despite the high efficacy of BRAF-MEK inhibitors in <i>BRAF</i>-mutant intracranial metastatic melanoma, most tumors will eventually progress. This demonstrates a gap in addressing the best management in such patients. Here, we present a case demonstrating our approach in this patient population.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"8 2","pages":"MMT55"},"PeriodicalIF":3.6,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ea/2a/mmt-08-55.PMC8162174.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39059996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Metastatic melanoma causing recurrent intussusception and perforation of small bowel: case reports and literature review.","authors":"Yusuf Yagmur, Mehmet Ali Açıkgöz","doi":"10.2217/mmt-2020-0015","DOIUrl":"https://doi.org/10.2217/mmt-2020-0015","url":null,"abstract":"<p><strong>Aim: </strong>To present cases of recurred jejuno-jejunal intussusception and jejunal perforation due to melanoma.</p><p><strong>Materials & methods: </strong>Case 1: A 43-year-old male under treatment for malignant melanoma was presented with abdominal pain and distention. Ten centimeter intussuscepted jejunum was resected. Second exploration was done due to failure to pass gas and stool. The reintussusception was detected and resection of reintussuscepted jejunum was performed. Case 2: A 63-year-old male was presented with abdominal pain. Abdomen computed tomography showed free air in the abdomen suggesting intestinal perforations. Perforated area at 80 cm in the jejunum sutured.</p><p><strong>Conclusion: </strong>We present the seemingly first report of reintussusception of resected segment in a very short time. Surgeons should be aware of both intussusception and perforation in metastatic melanoma.</p>","PeriodicalId":44562,"journal":{"name":"Melanoma Management","volume":"8 1","pages":"MMT54"},"PeriodicalIF":3.6,"publicationDate":"2021-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/19/mmt-08-54.PMC7849997.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25343686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}