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中国临床药理学与治疗学 ›› 2025, Vol. 30 ›› Issue (6): 849-857.doi: 10.12092/j.issn.1009-2501.2025.06.015

• 综述与讲座 • 上一篇    下一篇

可切除性高危恶性黑素瘤的(新)辅助治疗研究进展

杨永婷1,2,3,4,韩舒欣1,康晓静2,3,4   

  1. 1新疆大学生命科学与技术学院,新疆生物资源与基因工程重点实验室,乌鲁木齐  830046,新疆;2新疆维吾尔自治区人民医院皮肤性病科,乌鲁木齐  830001,新疆;3新疆皮肤性病临床医学研究中心,乌鲁木齐  830001,新疆;4新疆皮肤病研究重点实验室,乌鲁木齐  830001,新疆

  • 收稿日期:2024-09-11 修回日期:2024-11-07 出版日期:2025-06-26 发布日期:2025-06-09
  • 通讯作者: 康晓静,女,博士,教授,主任医师,研究方向:皮肤肿瘤。 E-mail: drkangxj666@163.com
  • 作者简介:杨永婷,女,博士,研究方向:皮肤肿瘤。 E-mail: 17509071909@163.com
  • 基金资助:
    新疆维吾尔自治区“天山英才”培养计划(2022TSYCLJ0025)

Advances in (neo) adjuvant therapy for resectable high-risk malignant melanoma

YANG Yongting1,2,3,4, HAN Shuxin1, KANG Xiaojing2,3,4   

  1. 1 Xinjiang Key Laboratory of Biological Resources and Genetic Engineering, Colege of Life Science &Technology,Xinjiang University, Urumqi 830046, Xinjiang, China; 2 Department of Dermatology and Venereology, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, Xinjiang, China; 3 Xinjiang Clinical Research Center for Dermatology and Venereology, Urumqi 830001, Xinjiang, China; 4 Xinjiang Key Laboratory of Dermatology Research, Urumqi 830001, Xinjiang, China
  • Received:2024-09-11 Revised:2024-11-07 Online:2025-06-26 Published:2025-06-09

摘要:

恶性黑素瘤是皮肤癌中恶性程度较高的肿瘤,目前外科手术仍为大多数患者的首选治疗方法,但仅接受手术的高危黑素瘤患者的5年无病生存率只有40%~60%,术前术后(新)辅助治疗可降低高危手术患者的复发率、提高存活率,因此近几年有关黑素瘤的(新)辅助治疗包括放疗、生物化学治疗、免疫治疗、靶向治疗被广泛研究。本文对近年来可切除的高危黑素瘤患者(新)辅助治疗的相关研究进行回顾与总结,以期为其提供合适的(新)辅助治疗方案,进而改善生存及预后。

关键词: 黑素瘤, 放疗, 生物化学治疗, 免疫治疗, 靶向治疗

Abstract:

Malignant melanoma represents a highly aggressive form of skin cancer. At present, surgical resection remains the primary treatment modality for the majority of patients diagnosed with this condition. However, the five-year disease-free survival rate for high-risk melanoma patients undergoing surgery alone ranges from 40% to 60%. The implementation of preoperative and postoperative (neo) adjuvant therapies has been demonstrated to diminish recurrence rates and improve survival outcomes for high-risk surgical patients. Consequently, various (neo) adjuvant treatments for melanoma-including radiotherapy, biochemotherapy, immunotherapy, and targeted therapy-have been the subject of extensive research in recent years. This review aims to summarize the latest advancements in (neo) adjuvant therapies for resectable high-risk melanoma patients, with the objective of providing an effective (neo) adjuvant therapy strategy that may improve patient survival and overall prognosis.

Key words: melanoma, radiotherapy, biochemotherapy, immunotherapy, target therapy

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