Skin Cancer

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Retrospective research demonstrated a significant difference between dermatologists and non-dermatologists in recognizing melanoma, suggesting increased dermatology training for non-dermatologists should be a priority.

Whole-body photographic camera developed out of U.S. military surveillance technology may have applications in dermatology. Dermatologists could one day use the camera to take whole-body images in high-risk patients; then, let a computer do the work of analyzing lesions that need attention.

The Food and Drug Administration has granted accelerated approval to nivolumab (Opdivo, Bristol-Myers Squibb) for the treatment of unresectable or metastatic melanoma and for patients whose disease has progressed following ipilimumab and, if BRAF V600 mutation-positive, a BRAF inhibitor.

Melanoma is a genetically heterogeneous condition that will likely result in more diversified clinical management in the future.

TAK-33 inhibited and regressed tumor growth in melanoma cell lines and patient-derived xenograft models. This “robust” success in the lab, according to a study published in Nov. 5, 2014 in Molecular Cancer Therapeutics, justifies continued clinical development as a potential therapy for melanoma patients.

A new government study suggests costs related to nonmelanoma skin cancer and melanoma treatment have skyrocketed relative to other cancers, increasing by 126 percent to more than $8 billion.

When researchers studied mortality from conditions with skin manifestations in developed versus developing countries, they found living in the developed world doesn’t always translate to lower death rates. Age-adjusted mortality for melanoma, for example, was about five times greater in the developed world than in developing countries.

Dermatologists need to be vigilant and more aware of the type and frequency of skin cancers that can occur in patients with darker Fitzpatrick Skin Types, an expert says. In addition to examining the “typical” sites where these tumors occur, dermatologists should also carefully inspect the oral mucosa as well as the palms and soles.

Researchers at Dartmouth College have discovered that BRAFV600E, often found in metastatic melanoma, is capable of modifying normal cells surrounding the tumor to encourage disease progression.

Therapeutics is one of the most significant challenges in pediatric dermatology. Children have been identified as “therapeutic orphans”, with few options that have FDA-approved pediatric indications. Access to new and novel treatments like biologics is especially limited. Supportive legislation, beginning with the Best Pharmaceuticals for Children Act (bpca.nichd.nih.gov), has marked the dawn of a new era.

If melanoma is in the differential diagnosis of a skin lesion in a pediatric patient, clinicians should remove the lesion and might also consider checking the sentinel lymph node.

Members of the military have a high risk of contracting skin cancer, due in part to the climates where they are deployed, recent research suggests. And only a small portion of service members is aware of the risks of sun exposure.

The Food and Drug Administration has granted accelerated approval to pembrolizumab (Keytruda, Merck) for treatment of advanced or unresectable melanoma in patients who have stopped responding to other drugs.