» Articles » PMID: 37843790

Isolated Hyperthermic Perfusions for Cutaneous Melanoma In-transit Metastasis of the Limb and Uveal Melanoma Metastasis to the Liver

Overview
Specialty Oncology
Date 2023 Oct 16
PMID 37843790
Authors
Affiliations
Soon will be listed here.
Abstract

Patients with cutaneous melanoma can develop in-transit metastases (ITM), most often localized to limbs. For patients with uveal melanoma that develop metastatic disease, the overall majority develop isolated liver metastases. For these types of metastases, regional cancer therapies have evolved as effective treatments. Isolated limb perfusion (ILP), isolated limb infusion (ILI), isolated hepatic perfusion (IHP) and percutaneous hepatic perfusion (PHP) achieve a high local concentration of chemotherapy with minimal systemic exposure. This review discusses the mechanism and available literature on locoregional treatment modalities in the era of modern immunotherapy.

Citing Articles

Identification of Predictive Factors for the Development of In-Transit Metastasis in Patients with Melanoma.

Huibers A, Leong S, Kashani-Sabet M, White Jr R, Vetto J, Schneebaum S Ann Surg Oncol. 2025; .

PMID: 40064798 DOI: 10.1245/s10434-025-17084-4.


Isolated Limb Infusion as First, Second, or Third or Later-Line Therapy for Metastatic In-Transit Melanoma.

Boby A, Dugan M, Ghali H, Aflatooni S, DePalo D, Fan W Cancer Control. 2024; 31:10732748241297326.

PMID: 39500581 PMC: 11539175. DOI: 10.1177/10732748241297326.


ASO Author Reflections: Optimizing Line of Therapy with the Melphalan/Hepatic Delivery System for Metastatic Uveal Melanoma.

Ghali H, Dugan M, Zager J Ann Surg Oncol. 2024; 32(1):497-498.

PMID: 39196472 DOI: 10.1245/s10434-024-16112-z.


Hepatic and Overall Progression-Free Survival After Percutaneous Hepatic Perfusion (PHP) as First-Line or Second-Line Therapy for Metastatic Uveal Melanoma.

Ghali H, Dugan M, Aflatooni S, Boby A, DePalo D, Laborde J Ann Surg Oncol. 2024; 31(13):9150-9158.

PMID: 39174837 DOI: 10.1245/s10434-024-16039-5.


Clinical Characteristics and Special Considerations in the Management of Rare Melanoma Subtypes.

Shannon A, Zager J, Perez M Cancers (Basel). 2024; 16(13).

PMID: 39001457 PMC: 11240680. DOI: 10.3390/cancers16132395.


References
1.
AUST J, AUSMAN R . The technique of liver perfusion. Cancer Chemother Rep. 1960; 10:23-33. View

2.
. Assessment of metastatic disease status at death in 435 patients with large choroidal melanoma in the Collaborative Ocular Melanoma Study (COMS): COMS report no. 15. Arch Ophthalmol. 2001; 119(5):670-6. DOI: 10.1001/archopht.119.5.670. View

3.
Michielin O, van Akkooi A, Ascierto P, Dummer R, Keilholz U . Cutaneous melanoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up†. Ann Oncol. 2019; 30(12):1884-1901. DOI: 10.1093/annonc/mdz411. View

4.
Muilenburg D, Beasley G, Thompson Z, Lee J, Tyler D, Zager J . Burden of disease predicts response to isolated limb infusion with melphalan and actinomycin D in melanoma. Ann Surg Oncol. 2014; 22(2):482-8. PMC: 4505812. DOI: 10.1245/s10434-014-4072-0. View

5.
Andtbacka R, Collichio F, Harrington K, Middleton M, Downey G, hrling K . Final analyses of OPTiM: a randomized phase III trial of talimogene laherparepvec versus granulocyte-macrophage colony-stimulating factor in unresectable stage III-IV melanoma. J Immunother Cancer. 2019; 7(1):145. PMC: 6554874. DOI: 10.1186/s40425-019-0623-z. View