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eISSN: 2084-9893
ISSN: 0033-2526
Dermatology Review/Przegląd Dermatologiczny
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SCImago Journal & Country Rank
4/2017
vol. 104
 
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abstract:
Review paper

From chemotherapy to oncoviruses – modern methods of treatment in metastatic melanoma

Hanna H. Drobek
,
Beata S. Bergler-Czop
,
Bartosz Miziołek

Dermatol Rev/Przegl Dermatol 2017, 104, 396-410
Online publish date: 2017/09/15
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Melanoma develops from neuroectodermal cells known as melanocytes. Recent studies have revealed an alarming increase in the annual incidence of this disease in Poland and worldwide. Although melanoma accounts for a small percentage of occurrences in comparison with all cancers, it develops rapidly, proceeding in a short time to the advanced stage of the disease; thus successful therapy of melanoma becomes the key solution. The early treatment dates back to dacarbazine, a cytostatic drug, giving a clinical response only in approximately 15% of patients. However, targeted molecular treatment and immunotherapy have been essential breakthroughs, including BRAF inhibitors and ipilimumab, announced recently as the discovery of the decade. Furthermore, later medical studies have led to surprising findings, a crucial example being oncolytic therapy which attenuated viruses. Talimogene (T-VEC) is the first drug of this kind approved in unresectable melanoma. Research on its therapeutic properties is still ongoing.
keywords:

melanoma, resistance, ipilimumab, BRAF inhibitors, talimogene



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