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Table 68-2

Treatment Options for Metastatic Melanoma

Surgery: metastasectomy for small number of lesions

Immunotherapy

Interleukin-2

Immune checkpoint blockade

  • Anti-CTLA-4: ipilimumab
  • Anti-PD-1: nivolumab, pembrolizumab
  • Combined ipilimumab and nivolumab

Experimental

Anti-PD-L1

Molecular targeted therapy

BRAF inhibitor: vemurafenib, dabrafenib

MEK inhibitor: trametinib, cobimetinib

Oncolytic virus: talimogene laherpaepvec

Chemotherapy: dacarbazine, temozolomide, paclitaxel, albumin-bound paclitaxel, carboplatin