TY - JOUR
T1 - An Overview of Liver Directed Locoregional Therapies
AU - Höppener, Diederik J.
AU - Grünhagen, Dirk J.
AU - Eggermont, Alexander M.M.
AU - van der Veldt, Astrid A.M.
AU - Verhoef, Cornelis
N1 - Publisher Copyright:
© 2020 The Authors
PY - 2021/1
Y1 - 2021/1
N2 - An overview of all liver-directed locoregional therapies, including surgical resection for melanoma liver metastases (MLMs), is provided. MLM patients are divided by their primary melanoma location; cutaneous, uvea (eye), and mucosal melanoma. If patients with isolated cutaneous MLMs are considered for surgical resection, treatment with systemic therapy should be part of the treatment course. For uveal MLMs, complete surgical or ablative treatment of all MLMs suggests superior results compared with other liver-directed or systemic therapies, based on current evidence, no recommendations for any liver-directed regional therapy in the treatment of mucosal MLMs can be made.
AB - An overview of all liver-directed locoregional therapies, including surgical resection for melanoma liver metastases (MLMs), is provided. MLM patients are divided by their primary melanoma location; cutaneous, uvea (eye), and mucosal melanoma. If patients with isolated cutaneous MLMs are considered for surgical resection, treatment with systemic therapy should be part of the treatment course. For uveal MLMs, complete surgical or ablative treatment of all MLMs suggests superior results compared with other liver-directed or systemic therapies, based on current evidence, no recommendations for any liver-directed regional therapy in the treatment of mucosal MLMs can be made.
KW - Cutaneous melanoma
KW - Liver directed therapy
KW - Liver metastasis
KW - Local therapy
KW - Mucosal melanoma
KW - Surgery
KW - Systematic review
KW - Uveal melanoma
UR - http://www.scopus.com/inward/record.url?scp=85096500625&partnerID=8YFLogxK
U2 - 10.1016/j.soc.2020.09.001
DO - 10.1016/j.soc.2020.09.001
M3 - Review article
C2 - 33220800
AN - SCOPUS:85096500625
SN - 1055-3207
VL - 30
SP - 103
EP - 123
JO - Surgical Oncology Clinics of North America
JF - Surgical Oncology Clinics of North America
IS - 1
ER -