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nivolumab (opdivo0) as adjuvant therapy for stage III and stage IV melanoma

机译:Nivolumab(Opdivo0)作为阶段III和阶段IV黑色素瘤的辅助治疗

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In a trial versus ipilimumab, the 3-year recurrence rate was 13 percentage points lower in the nivolumab group, but precise survival results are lacking. Efficacy has not been demonstrated in patients with distant metas-tases. Nivolumab has potentially serious adverse effects. The first-choice treatment for patients with melanoma with lymph node involvement is surgical excision. If the patient has distant metastases, their excision should also be considered when operable and few in number (1,2). Local or distant recurrence is common after surgical excision (3,4). Antineoplastic therapy after surgery (i.e. adjuvant treatment) is aimed at eradicating any residual cancer cells, in order to reduce the risk of recurrence and extend survival (see "Dabrafenib and trametinib combined, as adjuvant therapy for stage III melanoma" pp. 147-149 and "Pembrolizumab as adjuvant therapy for stage III melanoma" p. 149).
机译:在一项与伊普利单抗对照的试验中,nivolumab组的3年复发率降低了13个百分点,但缺乏精确的生存结果。对远处转移酶患者的疗效尚未得到证实。Nivolumab具有潜在的严重副作用。对于淋巴结受累的黑色素瘤患者,首选的治疗方法是手术切除。如果患者有远处转移,手术时也应考虑切除,数量较少(1,2)。手术切除后局部或远处复发很常见(3,4)。术后抗肿瘤治疗(即辅助治疗)旨在清除任何残留癌细胞,以降低复发风险并延长生存期(见“达布非尼和曲美替尼联合,作为III期黑色素瘤的辅助治疗”第147-149页和“彭布罗利珠单抗作为III期黑色素瘤的辅助治疗”第149页)。

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    《Prescrire international》 |2020年第216期|共2页
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  • 中图分类 药学;
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