Cutaneous melanoma:
Gespeichert in:
Format: | Buch |
---|---|
Sprache: | English |
Veröffentlicht: |
St. Louis, Mo.
Quality Medical Publ.
2009
|
Ausgabe: | 5. ed. |
Schlagworte: | |
Online-Zugang: | Inhaltsverzeichnis |
Beschreibung: | 921 S. zahlr. Ill. u. graph. Darst. |
ISBN: | 9781576262764 |
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264 | 1 | |a St. Louis, Mo. |b Quality Medical Publ. |c 2009 | |
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650 | 4 | |a Melanoma | |
650 | 4 | |a Skin Neoplasms | |
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700 | 1 | |a Balch, Charles M. |e Sonstige |4 oth | |
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Datensatz im Suchindex
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adam_text | Titel: Cutaneous melanoma
Autor: Balch, Charles M
Jahr: 2009
CONTENTS
INTRODUCTION
1 A History of Melanoma: From Hunter
to Milton 1
Arthur J. Sohn; Helen M. Shaw. John F Thompson
John Hunter (1728-17».?)
René Laennec(1781-1826)
William Norris (1792-1877)
Oliver Pcmbcrum (1825-1897)
James Paget (1814-1899)
Sir Jonathan Hutchinson (1828-1913)
Wiiliam Sampson Handley (1872-1962)
Alexander Breslow (1928-1980)
Vincent J. McGovern (1915-1983)
Sophie Spitz (1910-1956)
Arthur Allen (1910-1994)
Wallace 11. Clarkjr. (1924-1997)
Thomas B. Fit/patrick, Jr. (1919-2003)
Gerald W.Milton (1924-2007)
Part I________________________________
Epidemiology, Prognosis, and Staging
2 Epidemiology of Melanoma 17
Bruce K. .htnstrmig, Alisa M. Goldstein
Worldwide incidence and mortality patterns
Correlates of melanoma risk
Demographic correlates
Constitutional correlates
Environmental and behavioral correlates
Present and future trends in melanoma incidence
and mortality
Prognostic Factors and Natural History
of Melanoma 35
Jeffrey E. Gershenwald, Charles M. Balch. Seng-jaw Soong,
John F. Thompson
AJCC melanoma staging system analyses—
overview of the AJCC international
melanoma database and 2002 melanoma
staging system
Background
Overview of the 2002 (sixth edition) AJCC
melanoma database and melanoma staging
system
Validation of the AJCC melanoma staging system
Prognostic factors in primary melanoma
(stages I and II)
Prognostic factors in regionally metastatic
melanoma: lymph node metastases, satellite
lesions, and in-transit metastases
AJCC melanoma database: multivariate analysis
for stage III patients
Prognostic factor analyses in patients with distant
metastatic melanoma (stage W)
AJCC melanoma database analysis: stage IV
Melanoma Staging and
Classification 65
Charles M. Balch, Jeffrey E. Gershenu-ald. Seng-jaw Soong,
Arthur J. Sober, John M. Kirkwood
Anatomy
Primary sites
Regional lymph nodes
Metastatic sites
Rules for classification
Clinical staging
Pathologic staging
Clinical versus pathologic staging
XIX
XX
Contents
TNM classification
Primary tumor (T)
Regional lymph nodes (N)
Distant metastatic melanoma (M)
Staging recommendations for metastases from
unknown primary site
Stage groupings
Data-recording criteria
5 Models for Predicting Melanoma
Outcome, 87
Seng-jaw Soong, Shouluan Ding, Daniel G. Coit,
Charles M. Balch
Description of the statistical model
Hazard function
Survival function
Predicting outcome from initial diagnosis for
patients with localized melanoma
Hazard function estimation and parametric
modeling for localized melanoma
Predicting outcome from initial diagnosis for
patients with regional melanoma
Predicting outcome after a disease-free interval in
patients with localized melanoma
Clinical applications
Clinical scoring system
Disease management decisions
Patient risk classification
Planning clinical trials
Analysis of clinical studies
Other applications
Part II_________________________________
screening: clinical assessment
and Pathology
6 Melanoma Prevention and
Screening 107
J. Mark Elwood, Jennifer Kay Makin, Craig A. Sinclair,
Robert Burton
Prevention of melanoma
Reducing personal exposure: shade, clothing,
and sunscreens
Intervention trials of the prevention of skin
cancers and related lesions
Behavioral change programs for reducing
personal exposure
Vitamin D
Controlling exposure to sunbeds
Prevention of melanoma: recommendations
Screening for melanoma
Uncertainties and conflicts in melanoma
screening
Evidence relating to the effectiveness of
screening
Programs of screening
Challenges in the detection of progressive
melanoma
7 Clinical Genetics and Risk Assessment
of Melanoma 133
Graham J. Mann, Hensin Tsao
Clinical risk assessment
Baseline risks attributable to age and sex
Previous melanoma or other skin cancer
Multiple melanocytic nevi
Skin and hair color, skin phototype, and
freckling
Sun exposure and its surrogates
Family history of melanoma
Genetic risk of melanoma
Mutations in CDKN2A and CDK4 in familial
melanoma
Pancreatic cancer and other phenotypes
CDKN2A mutations in sporadic and multiple
primary melanoma
Melanoma risk to CDKN2A mutation carriers
Low-penetrance melanoma susceptibility genes
Genetic testing for melanoma risk?
Management of high-risk individuals
The future
8 Acquired Precursor Lesions and
Phenotypic Markers of Increased Risk
for Cutaneous Melanoma 145
Scott W. Menzies, Hensin Tsao, Arthur J. Sober
Pigment phenotype
Constitutive pigmentation (racial)
Hair and eye color
Oculocutaneous albinism
Ephelis (freckle)
Moles
Benign (common) acquired moles (nevi)
Atypical moles
Lentigo maligna
Contents
xxi
9 Clinical Characteristics of
Melanoma 161
Allan C. Halpern,AshfaqA. Marghoob, Arthur J. Sober
Personal history of skin cancer
Clinical presentation
Signs and symptoms
Clinical features
Growth patterns
Clinical assessment
History
Physical examinations
Diagnostic accuracy and aids to diagnosis
New technologies for diagnosis
Image analysis for diagnosis
Multispectral imaging and automated diagnosis
Confocal scanning laser microscopy
Other techniques: ultrasound imaging, magnetic
resonance imaging, and optical coherence
tomography
Evolving paradigms in the analysis of dermoscopic
images
How we analyze images
10 Biopsy of Suspected Melanomas 197
Nanette J. Liégeois, Timothy M. Johnson, Arthur J. Sober
Prebiopsy lesion assessment
Biopsy techniques
Excisional biopsy
Incisional biopsy
Fine-needle aspiration
Frozen sections
Biopsy of the nail unit
Biopsy of the mucosa
11 Pathology of Melanoma 205
Richard Anthony Scolyer, Martin C. Mihm,Jr.,
AlistairJ. Cochran, Klaus J. Busam,
Stanley William McCarthy
Pathologic assessment of melanocytic tumors:
goals and expectations
Biopsy techniques for clinically suspicious
melanocytic tumors: the hazards of
incomplete biopsies
Pathologic examination of the primary melanoma
site
Clinical correlation for enhancement of
pathologic accuracy
Specimen orientation
Melanoma tumor progression: the concept of
radial and vertical growth phases
Clinicopathologic classification of melanoma
Superficial spreading melanoma
Lentigo maligna melanoma
Acrolentiginous melanoma
Nodular melanoma
Histologic features of vertical growth phase
melanoma
Predominantly epithelioid cell vertical growth
phase
Predominantly spindle cell vertical growth
phase
Pitfalls
Mixed spindle cell and epithelioid cell vertical
growth phase
Nevoid vertical growth phase (nevoid
melanoma)
Prognostication
The melanoma pathology report including a
synoptic format
Uncommon melanoma variants
Metastatic melanoma
Fine-needle biopsy in melanoma patients
Clear cell sarcoma (melanoma of soft parts)
Molecular pathology of melanoma
The concept of the cancer stem cell
The metastatic niche concept
Part III
Management of Localized Melanoma
12 Excision of Primary Melanoma 251
MeiTick I. Ross
Excision of primary melanoma: fundamental
concepts
Historical perspective and the emergence of a
contemporary paradigm
Thin melanoma (Tl andT2; less than 2 mm)
excision trials
The Intergroup Melanoma Surgical Trial
(T2 and T3 melanomas; 1 to 4 mm)
Thicker melanoma (T3 and T4; greater than
2 mm) excision trials
Current recommendations
Excisions for histologic variants
Techniques for routine wound closure
Excisions for melanomas in unusual or
restrictive locations
xxn
Contents
13 Complex Closures of Melanoma
Excisions 275
Maurice Y. Nahabedian, Jonathan R. Stretch,
Anthony P. Tufaro
Principles of reconstructive surgery
Assessment of the acquired defect
Reconstructive options for complex wounds
Definitions
Undermining with primary closure
Skin grafts
Composite grafts
Local flaps
Regional flaps
Free tissue transfer
Tissue expansion
Complex closures: regional considerations and
clinical application
Head and neck
Trunk
Extremities
Surgical salvage for extensive and recurrent
melanoma
14 Local Recurrences of Melanoma and
Their Management 323
Kenneth K Tanabe, Douglas S. Reintgen, Charles M. Balch
Definition
Mechanisms
Risk factors for local recurrence
Surgical margins and local recurrence
Sentinel node biopsy and local recurrence
Timing of local recurrences
Local recurrence and survival
Management
15 Mucosal Melanoma 337
Menick I. Ross, Michael A. Henderson
Epidemiology
Pathologic features and diagnosis
Staging and prognosis
Mucosal melanomas in the head and neck
Epidemiology
Clinical presentation
Differential diagnosis
Prognosis and natural history
Treatment
Mucosal melanomas in the female genital tract
Vulvar melanoma
Vaginal melanoma
Treatment
Anorectal mucosal melanomas
Clinical and pathologic features
Treatment
Mucosal melanomas at other sites
Urinary tract
Esophagus
Role of radiotherapy
16 Melanoma in Children and
Teenagers 351
Julie R. Lange, Ira J. Dunkel, Helen M. Shaw,
Arthur J. Sober
Epidemiology
Congenital melanoma
Precursors and risk factors
Giant congenital nevi
Small and medium congenital nevi
Xeroderma pigmentosum
Constitutional risk factors
Ultraviolet exposure
Clinical presentation
Diagnosis and surgical management
Medical management
Interferon
Vaccine trials
Chemotherapy
Outcomes
Follow-up and surveillance
17 Pregnancy and the Use of Hormones in
Melanoma Patients 363
Rona M. MacKie
Nevi and pregnancy
Pregnancy before melanoma
Melanoma before pregnancy
Melanoma during pregnancy
Effect of pregnancy on disease outcome
Transplacental metastases
Treatment of melanoma during pregnancy
Surgery
Adjuvant nonsurgical therapy for pregnant
women
Chemotherapy
Oral contraception and melanoma
Use of oral contraception and subsequent risk
of melanoma
Use of oral contraceptives after treatment for
melanoma
Contents
XXHl
Hormone replacement therapy and melanoma
Appropriate advice on planning pregnancy after
treatment for melanoma
In vitro fertilization and melanoma
PartIV
Management of Regional Metastases
18 The Sentinel Lymph Node and Regional
Melanoma Micrometastases 373
Donald L. Morton, Alistair J. Cochran, John F Thompson,
Vernon K Sondak
The history and conceptual basis of sentinel node
biopsy
Anatomic versus functional definitions of the
sentinel lymph node
Incubator versus marker theory
Immunology of the sentinel node
Pathobiology of tumor-induced immuno-
suppression of the sentinel node
Sentinel node biopsy for staging clinically
localized melanoma
Interim results of the first Multicenter
Selective Lymphadenectomy Trial
Survival
Should lymphatic mapping and sentinel node
biopsy be the standard of care for cutaneous
melanoma?
LM/SNB increases the chance of remaining
disease free
LM/SNB is a superior staging technique for
identifying appropriate candidates for
adjuvant therapy
No noninvasive staging alternative is available
Early treatment of patients with a positive
sentinel node may improve survival
False-positivity does not apply to the sentinel
node
LM/SNB for melanomas that are not
intermediate in thickness
Unresolved issues and ongoing research
The second Multicenter Selective
Lymphadenectomy Trial
Carbon particle mapping
19 Lymphoscintigraphy in Patients With
Melanoma 387
Roger F Uren, John F Thompson, Brendon J. Coventry,
Barry E. Chatterton
Definition of a sentinel node
Lymphatic mapping of the skin: early studies
Lymphoscintigraphy
The first radiocolloid and early experience with
lymphoscintigraphy
Radiopharmaceuticals
99mTc-labeled colloids
99mTc-antimony sulfide colloid
99mTc-rhenium sulfide colloid and
99mTc-albumin nanocolloid
99mTc-sulfur colloid
99mTc-human serum albumin
What is the ideal radiocolloid?
Lymphoscintigraphy for sentinel lymph node
biopsy procedures
Lymphoscintigraphy technique
Injecting the tracer
Immediate dynamic imaging
Delayed static imaging
Unexpected lymphatic drainage pathways
Marking the surface location of the sentinel
node
Radiation dosimetry: risks to the patient
Radiation dosimetry: risks to the pregnant
patient
Radiation dosimetry: risks to attending staff
Patterns of lymphatic drainage from the skin
Trunk
Head and neck
The limbs
Interval nodes
Drainage to multiple node fields
Complex lymphatic drainage patterns
Lymphoscintigraphy in clinically involved node
fields
The future
New tracers for lymphatic mapping
Gamma probes for intraoperative detection of
radioactivity
Gamma cameras for intraoperative imaging
Alternate methods of lymphatic mapping
XXIV
Contents
20 Intraoperative Mapping and Sentinel
Node Technology in Patients With
Melanoma 415
Jeffrey E. Gershenwald, John F. Thompson, Nicola Mozzillo,
Charles M. Balch
Approach to clinically negative regional lymph
node basins in patients with early-stage
primary cutaneous melanoma
Rationale for lymphatic mapping and sentinel
lymph node biopsy
Technique for lymphatic mapping and sentinel
lymph node biopsy
Role of sentinel lymph node biopsy in pathologic
regional lymph node staging: prognostic
value of sentinel lymph node pathologic
status
Early results
Prognostic significance
Patterns of failure after negative sentinel lymph
node biopsy
Clinical relevance of submicroscopic disease
Ongoing clinical trials of lymphatic mapping
and sentinel lymph node biopsy
Technical planning: overall approach
Patient selection
Special situations
Approach to patients after previous wide local
excision
Approach to patients with irregular lymphatic
drainage patterns
Desmoplastic histology
Complications and morbidity after lymphatic
mapping and sentinel lymph node biopsy
Technical considerations: lymphatic mapping
and sentinel lymph node biopsy
General operating room positioning strategies
1 Axillary and Epitrochlear Lymph Node
Dissection for Melanoma 447
Kelly M. McMasters, Sandra L. Wong, Douglas S. Tyler,
Charles Al Balch, John F. Thompson
Axillary dissection
Anatomy
Surgical technique
Operative approaches to the upper axilla for
recurrent or bulky axillary metastases
Postoperative management
Complications
Epitrochlear dissection
Rationale
Anatomy
Surgical technique
22 Inguinofemoral, Iliac/Obturator, and
Popliteal Lymphadenectomy in Patients
With Melanoma 457
Lisa K Jacobs, Charles M. Balch, Daniel G. Coit
Inguinofemoral dissection
Indications
Technique
Modifications of the classic technique of
inguinofemoral lymphadenectomy
Iliac/obturator (deep pelvic) lymph node
dissection
Indications
Benefits
Operative technique
Postoperative complications: incidence and risk
factors
Complications of lymph node dissection
Management of postoperative complications
Popliteal dissection
Indications
Operative technique
23 Neck Dissection and Parotidectomy for
Melanoma 471
Anthony P. Tufaro, Suhail K Mithani, Joseph A. Califano HI,
Ashok Shaha
Anatomy
Sublevels
Patterns of metastatic spread and extent of
dissection
Neck dissection
Comprehensive neck dissection
Selective neck dissection
Complications
Parotidectomy
Preoperative evaluation
Anesthesia and positioning
Technique
Complications
Clinical outcome
Adjuvant radiotherapy
24 Recurrent Regional Metastases of
Melanoma 487
Daniel G. Coit, Cristina R. Ferrone
In-transit metastases
Incidence
Treatment
Adjuvant therapy
Prognosis
Contents
XXV
Recurrent nodal metastases after lymph node
dissection
Incidence
Treatment
Prognosis
Adjuvant therapy
25 Radiotherapy for Primary and Regional
Melanoma 499
Graham Stevens, Bryan Burmeister
Role of radiotherapy in the management of
primary melanoma
Adjuvant radiotherapy after surgical excision
Results of curative radiotherapy alone
Radiotherapy for lentigo maligna and lentigo
maligna melanoma
Treatment recommendations for the use of
radiotherapy in primary melanoma and
lentigo maligna
Illustrative cases
Role of radiotherapy in the management of
in-transit metastasis
Treatment recommendations for the use of
radiotherapy for in-transit melanoma
Illustrative cases
Role of radiotherapy in the management of
regional lymph node metastasis
Adjuvant postoperative radiotherapy after
regional lymph node dissection
Results of adjuvant radiotherapy after complete
lymph node dissection
Adjuvant radiotherapy after limited lymph
node dissection
Preoperative radiotherapy for bulky nodal disease
Palliative radiotherapy for unresectable regional
nodal disease
Treatment recommendations for the use of
radiotherapy in regional nodal metastasis
Adjuvant radiotherapy after complete lymph
node dissection
Adjuvant radiotherapy after limited lymph
node dissection or no dissection
Therapeutic (palliative) radiotherapy
Illustrative cases
26 Hyperthermic Regional Perfusion for
Melanoma of the Limbs 519
H. Richard Alexander, Jr., Douglas L. Fraker,
Alexander M.M. Eggermont
Epidemiology and natural history
Historical perspective and early clinical series
Technical aspects of isolated limb perfusion
Melphalan
Pharmacokinetics of melphalan in isolated limb
perfusion
Other chemotherapeutic agents
Hyperthermia
Tumor necrosis factor
Toxicity of isolated limb perfusion
Adjuvant isolated limb perfusion
Therapeutic limb perfusion
Melphalan alone
Melphalan and tumor necrosis factor
27 Isolated Limb Infusion for
Melanoma 541
Georgia M. Beasley, Hidde M. Kroon, Merrick I. Ross,
Peter CA. Kam, John F. Thompson, Douglas S. Tyler
Similarities and differences between isolated limb
infusion and conventional hyperthermic
isolated limb perfusion
Patient selection for isolated limb infusion
Technical details of the isolated limb infusion
procedure
Preoperative assessment and management
Insertion and positioning of arterial and venous
catheters
Procedure in the operating room
Postoperative care
Pharmacokinetics of melphalan
Use of microdialysis to monitor drug
concentrations in limb tissues and tumor
deposits during isolated limb infusion
Limb and systemic toxicity after isolated limb
infusion
Factors predicting toxicity after isolated limb
infusion
Clinical results of isolated limb infusion
Factors predicting outcome after isolated limb
infusion
Limb temperatures during isolated limb infusion
Tourniquet times
Interpretation of prognostic factors data
Repeat isolated limb infusion for disease
progression after initial isolated limb
infusion
Comparison with hyperthermic isolated limb
perfusion
Laboratory studies of isolated limb infusion
Potential use of the isolated limb infusion
technique to evaluate other drugs and
biologic agents
XXVI
Contents
PartV
Diagnosis and Local Treatment
of Distant Metastases
28 Metastatic Surveillance and Follow-up of
Melanoma Patients 563
Julie R. Lange, Axel Hauschild, Anne Brecht Francken
Goals of surveillance
Patterns of melanoma recurrence
Risk of local and regional recurrence
Time to recurrence
Strategies for active follow-up of melanoma
patients
Detection of recurrences
Role of physical examination
Patient education
Patient well-being and follow-up
Follow-up schedules
Radiologic studies and laboratory tests
Screening for risk of new primary melanomas
Screening for other primary cancers
Current recommendations for surveillance
2 9 Diagnosis of Stage IV Melanoma 573
Michael B. Atkins, Axel Hauschild, Richard L. Wahl,
Charles M. Balch
Timing of distant metastasis
Pattern of metastasis
Prognosis and prognostic factors
Sites of distant metastases
Number of metastatic sites
Elevated serum lactate dehydrogenase
Duration of remission
Performance status
Other prognostic factors
Clinical evaluation of metastasis
History and physical examination
Laboratory tests/biomarkers
Radiologic tests
Pathologic tests
Sites of distant metastases
Skin, subcutaneous tissues, and distant lymph
nodes
Lung, pleura, and mediastinum
Brain and spinal cord
Gastrointestinal tract
Liver, biliar}- tract, and spleen
Bone
Kidneys and urinary tract
Heart and pericardium
Pancreas
Peritoneum and mesentery
Endocrine organs
Breast
Ovaries, uterus, and placenta
Testes and penis
Oral cavity, pharynx, and larynx
Eye and orbit
Cutaneous melanosis
Metastatic melanoma from an unknown
primary site
Surveillance in patients who have localized
melanoma
30 Surgical Excision of Distant Melanoma
Metastases 603
John F. Thompson, Donald L. Morton, Charles M. Balch,
Merrick I. Ross
Current status of surgery for stage IV melanoma
Relationships between tumor burden, immune
function, and surgical treatment
Selection of patients and prognostic factors
Outcomes after surgical resection of melanoma
metastases at specific sites
Skin, subcutaneous tissue, and lymph nodes
Lung, trachea, and bronchi
Brain and spinal cord
Gastrointestinal tract
Liver, biliary tract, and spleen
Bone
Kidney and urinary tract
Heart and pericardium
Endocrine organs
Breast
Ovaries, uterus, and vagina
Testes and penis
Oral cavity and pharynx
Eye and orbit
31 Radiotherapy for Distant Metastases and
Clinical Radiobiology of Melanoma 629
Graham Stevens, Angela Hong, Michael J. McKay
Radiotherapy for distant metastases
Skin and subcutaneous metastases
Lymph node metastases
Brain metastases
Malignant spinal cord compression
Bone metastases
Sites irradiated less commonly
Developing sites for focused radiation treatment
Illustrative cases
Clinical radiobiology of melanoma
Biologic factors affecting the ionizing radiation
response of melanoma
Intrinsic cellular radiosensitivity
Tumor oxygenation and microenvironmental
factors
Contents
XXVll
Tumor cell proliferation kinetics
Number of clonogenic tumor cells
Influence of melanization on radiosensitivity
Host factors in melanoma response and
outcome
Future possibilities
Methods to improve the response of melanoma
cells
Methods to improve the delivery of radiation
to melanoma metastases
3 2 Multidisciplinary Management of CNS
Melanoma Metastases 651
Kim A. Margolin, George M. Cannon, Minesh P. Mehta,
Michael Y. Chen
Risk factors and prognosis
Clinical features
Neurosurgical management of brain metastasis
Radiotherapeutic and radiosurgical management
of melanoma metastatic to the brain or spine
Whole-brain radiotherapy
Whole-brain radiotherapy alone
Surgery followed by whole-brain radiotherapy
Stereotactic radiosurgery
Systemic therapy for melanoma metastatic to the
central nervous system
Systemic therapy considerations after adequate
control of the central nervous system
Palliative approach
Aggressive approach
Investigational approach
Part VI____________________
Systemic Treatment of Metastatic
Disease
3 3 Adjuvant Systemic Therapy for High-Risk
Melanoma Patients 669
John M. Kirkwood, Vernon K. Sondak, Peter Mersey,
Helen Gogas
Who should be considered for adjuvant therapy?
Chemotherapy alone or in multiagent
combinations as adjuvant therapy for
melanoma
Microbial immunostimulants
Bacillus Calmette-Guérin
Corynebacterium parvum
Levamisole
Hormonal therapy
Melanoma vaccines tested in phase III adjuvant
trials
Adjuvant interferons as postoperative adjuvant
therapy for melanoma
Adjuvant applications of interferon-alpha-2
Adjuvant applications of interferon-gamma
Emerging new modalities of adjuvant therapy
Biomarkers of prognosis and response
34 Chemotherapy-Based Treatment of
Metastatic Melanoma 693
Michael B.Atkins, Mark R. Middleton, Paul B. Chapman
Single-agent chemotherapy
Dacarbazine and temozolomide
Nitrosoureas
Platinums
Microtubule toxins
Combination cytotoxic chemotherapy
Nitrosourea combinations
Taxane-based combination therapy
Cisplatin-based combination therapy
Chemohormonal therapy
Biochemotherapy
Interferon alpha-based biochemotherapy
regimens
Interleukin-2-based regimens
Interleukin-2 and DTIC/temozolomide
combinations
Cisplatin and interleukin-2-based biochemo-
therapy regimens
Inpatient concurrent biochemotherapy
regimens
Phase III biochemotherapy trials
Other biochemotherapy investigations
Non-interleukin-2 or interferon-based
biochemotherapy combinations
Chemotherapy and antiangiogenic or targeted
therapy
Antiangiogenic agents
Antiapoptosis-inducing agents
Selection of future phase III trials
3 5 Interferon Therapy for Melanoma 715
Ernest C. Borden, StergiosJ. Moschos, John M. Kirkwood
Endogenous interferons as part of the host
response to cancer
The family of interferon proteins and signaling
activation
Mechanisms of antitumor action in melanoma
Signaling by interferons
Cellular mechanisms of action of interferons
Interferon-alpha-2 in the treatment of melanoma
The future of interferons in melanoma biology
and therapy
XXVlll
Contents
36 Interleukins and Cellular Therapies for
Melanoma 731
Douglas J. Schwartzentruber
Pharmacology of interleukin-2
Immunologic activity of interleukin-2
Systemic effects of interleukin-2
Clinical efficacy of high-dose interleukin-2 alone
Clinical efficacy of alternate doses, routes, and
schedules of interleukin-2 alone
Clinical efficacy of interleukin-2 combined with
interferon-alpha
Clinical efficacy of interleukin-2 combined with
other cytokines, immune modulators,
antibodies, or vaccines
Agents to reduce the toxicity of interleukin-2
Predictors of clinical response
Other cytokines for treatment of metastatic
melanoma
Clinical efficacy of interleukin-2 combined with
cellular therapy
37 Melanoma Vaccines 757
Jedd D. Wolchok, Jeffrey S. Weber
Tumor immunology
Antigen discovery
Adjuvants
Vaccine approaches
Cell vaccines
Transduced cell vaccines
HLA-restricted melanoma-associated antigenic
peptides
Ganglioside vaccines
Antiidiotypic monoclonal antibodies
mimicking ganglioside antigens
Protein antigens
Heat-shock protein-based vaccines
DNA vaccination
Dendritic cell vaccines
Recombinant viral vaccines
Combination strategies and the future of
melanoma vaccines
38 Immune Modulators in the Treatment of
Patients With Melanoma 775
James P. Allison, F. Stephen Hodi, Yvonne M. Saenger,
Jedd D. Wolchok
Biology of CTLA-4-mediated immune inhibition
Preclinical development of anti-CTLA-4 as an
anticancer agent
Anti-CTLA-4: clinical experience in melanoma
Efficacy of CTLA-4 blockade: summary of
clinical trials to date
CTLA-4 blockade and immune-related adverse
events
Kinetics of response
Patient selection and predictors of toxicity and
antitumor response
Dose and schedule of anti-CTLA-4
administration
Correlative immunologic studies
Vaccination strategies in combination with
CTLA-4 blockade
Combination of CTLA-4 blockade and
GM-CSF vaccination in murine models
Clinical investigation of combination CTLA-4
blockade and autologous GM-CSF-secreting
tumor vaccination
CTLA-4 blockade with peptide vaccines
Other CTLA-4 antibody and immunotherapy
combinations
39 Melanoma-Specific Targeted
Therapies 793
Paul B. Chapman, David B. Sold, Keith T. Flaherty
Targeting cell surface molecules
Targeting receptor tyrosine kinases expressed
in melanoma
Monoclonal antibodies
Targeting intracellular molecules
The mitogen-activated protein kinase pathway
in melanoma
Drugs that inhibit BRAF
Hsp90 inhibitors
Drags that inhibit MEK
Targeting PI3/AKT pathway
Angiogenesis inhibition in melanoma
Part VII_________________________________
Biology of Melanoma
40 Genetics and Molecular Pathology of
Melanoma 807
Boris C. Bastian, Daniel Pinkel, Amaya Viros
Distinct patterns of epidemiologic, clinical, and
histopathologic features in melanoma
Emerging melanoma subtypes based on genotype-
phenotype correlations
Melanomas on sun-exposed sites
Melanomas on relatively or absolutely
UV-protected sites
Melanocytic tumors arising without
associations to epithelial structures
Contents
XXIX
41 Biology of Melanocytes and Primary
Melanoma 821
Glenn Merlino, Vincent J. Hearing
Development of melanoblasts
Regulation of specification
Regulation of migration
Regulation of survival and proliferation
Differentiation of melanocytes
Regulation of differentiation
Regulation of survival
Melanomagenesis
From melanocyte to melanoma: a multistep
process
Molecular genetics: early lessons from familial
and sporadic melanoma
Melanoma: a consequence of homeostatic
disruption
Melanoma: cell of origin
Melanoma and the environment
Sun exposure and epidemiology
Photobiology and melanoma
42 Biology of Melanoma Metastasis 847
Menashe Bar-Eli, Isaiah J. Fidler
The pathogenesis of melanoma metastasis
Transcriptional regulation of melanoma
progression
Role of AP-2-a in melanoma progression
Role of CREB/ATF-1 in melanoma
progression
Involvement of ATF-2 in melanoma
progression
SNAIL: its regulatory pathway in melanoma
MITF: its role in melanoma progression
Regulation of melanoma metastasis by the tumor
microenvironment
Role of platelet-activating factor receptor
Potential therapeutic approaches to inhibiting
melanoma metastasis
Using fully humanized antibodies to
MCAM/MUC18 to inhibit tumor growth
and metastasis of human melanoma
Using fully humanized neutralizing antibodies
to interleukin-8 (ABX-IL-8) to inhibit
angiogenesis, tumor growth, and metastasis
of human melanoma
43 Immunology of Melanoma 865
Suzanne L. Topalian, Lieping Chen, Janis M. Taube,
Paul F. Robbins, Jedd D. Wolchok, Alan N. Houghton
Innate immunity
Adaptive immunity
Melanoma antigens
General principles for identification of tumor
antigens recognized by T cells and
antibodies
Nonmutated self-antigens
Mutant melanoma antigens
Altered peptide ligands: enhancing the
immunogenicity of low-affinity melanoma
epitopes
Experimental models
Immune regulation and tolerance
Costimulatory/coinhibitory receptors
Regulatory T cells
Cytokines
Implications for immunotherapy
44 Biomarkers for Melanoma 883
Elizabeth A. Grimm, Dave S.B. Hoon,
Lyn McDivitt Duncan
Potential clinical impact of melanoma biomarkers
Melanoma heterogeneity
Melanoma biomarker discovery and validation
process
Biomarkers in early-stage melanoma
Molecular markers in primary cutaneous
melanoma
Biomarkers for later-stage melanoma
Molecular markers in sentinel lymph nodes
Molecular markers in blood
Molecular markers in metastatic tumors
Additional Credits 899
Index 901
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dewey-search | 616.99/477 |
dewey-sort | 3616.99 3477 |
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discipline | Medizin |
edition | 5. ed. |
format | Book |
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illustrated | Illustrated |
indexdate | 2024-07-09T21:42:21Z |
institution | BVB |
isbn | 9781576262764 |
language | English |
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spelling | Cutaneous melanoma ed. by Charles M. Balch ... 5. ed. St. Louis, Mo. Quality Medical Publ. 2009 921 S. zahlr. Ill. u. graph. Darst. txt rdacontent n rdamedia nc rdacarrier Melanoma Skin Neoplasms Skin Cancer Melanom (DE-588)4074707-4 gnd rswk-swf Melanom (DE-588)4074707-4 s DE-604 Balch, Charles M. Sonstige oth HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017700432&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
spellingShingle | Cutaneous melanoma Melanoma Skin Neoplasms Skin Cancer Melanom (DE-588)4074707-4 gnd |
subject_GND | (DE-588)4074707-4 |
title | Cutaneous melanoma |
title_auth | Cutaneous melanoma |
title_exact_search | Cutaneous melanoma |
title_full | Cutaneous melanoma ed. by Charles M. Balch ... |
title_fullStr | Cutaneous melanoma ed. by Charles M. Balch ... |
title_full_unstemmed | Cutaneous melanoma ed. by Charles M. Balch ... |
title_short | Cutaneous melanoma |
title_sort | cutaneous melanoma |
topic | Melanoma Skin Neoplasms Skin Cancer Melanom (DE-588)4074707-4 gnd |
topic_facet | Melanoma Skin Neoplasms Skin Cancer Melanom |
url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=017700432&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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