Is there a role for resection of the cutaneous primary in a patient on dual-agent immunotherapy for metastatic melanoma?
Medical Oncologist
Yes. The location and size (width, length) should be noted. The patient should first be treated with dual ICI. If the patient with metastatic melanoma, who has the primary intact, undergoes successful dual ICI therapy and has a documented CR, near CR, or excellent PR, which is typically noted within...
Comments
Medical Oncologist at The Ohio State University Comprehensive Cancer Center I fully concur with Dr. @Ernstoff.
Answer from: Medical Oncologist at Academic Institution
Not really, unless it is symptomatic and not responding to treatment. In that scenario, a resection with "palliative" intent is sufficient, meaning that the margin need not be 2 cm wide. If the tumor responds, it will mostly leave behind a benign melanocytic lesion. I usually request our dermatology...
I fully concur with Dr. @Ernstoff.