Leptomeningeal disease in melanoma: An update on the developments in pathophysiology and clinical care

Inna Smalley, Adrienne Boire, Priscilla Brastianos, Harriet M. Kluger, Eva Hernando-Monge, Peter A. Forsyth, Kamran A. Ahmed, Keiran S.M. Smalley, Sherise Ferguson, Michael A. Davies, Isabella C. Glitza Oliva

Research output: Contribution to journalReview articlepeer-review

Abstract

Leptomeningeal disease (LMD) remains a major challenge in the clinical management of metastatic melanoma patients. Outcomes for patient remain poor, and patients with LMD continue to be excluded from almost all clinical trials. However, recent trials have demonstrated the feasibility of conducting prospective clinical trials in these patients. Further, new insights into the pathophysiology of LMD are identifying rational new therapeutic strategies. Here we present recent advances in the understanding of, and treatment options for, LMD from metastatic melanoma. We also annotate key areas of future focus to accelerate progress for this challenging but emerging field.

Original languageEnglish (US)
Pages (from-to)51-67
Number of pages17
JournalPigment Cell and Melanoma Research
Volume37
Issue number1
DOIs
StatePublished - Jan 2024

Keywords

  • Central Nervous System Metastasis
  • leptomeningeal disease
  • melanoma

ASJC Scopus subject areas

  • Oncology
  • General Biochemistry, Genetics and Molecular Biology
  • Dermatology

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