Recent approaches for the treatment of uveal melanoma: Opportunities and challenges

Crit Rev Oncol Hematol. 2024 Jan:193:104218. doi: 10.1016/j.critrevonc.2023.104218. Epub 2023 Nov 30.

Abstract

Uveal melanoma (UM) is the most prevalent primary intraocular cancer in adult population. Primary methods for treatment of UM involves surgery Proton Beam Therapy (PBT), Plaque Brachytherapy, phototherapy, and Charged Particle Radiation Therapy (CPT). It has been found that approximately 50 % of patients diagnosed with UM ultimately experience development of metastatic disease. Furthermore, it has been identified that majority of the patient experience metastasis in liver with a prevalence of 95 %. Management of metastatic UM (MUM) involves various therapeutic modalities, including systemic chemotherapy, molecular targeted therapy, immunotherapy and liver directed interventions. We outline gene mutation in UM and addresses various treatment modalities, including molecular targeted therapy, miRNA-based therapy, and immunotherapy. Additionally, inclusion of ongoing clinical trials aimed at developing novel therapeutic options for management of UM are also mentioned.

Keywords: Immunotherapy; MAPK pathway; Molecular target therapy; Uveal Melanoma.

Publication types

  • Review

MeSH terms

  • Adult
  • Humans
  • Immunotherapy / methods
  • Melanoma* / genetics
  • Melanoma* / pathology
  • Melanoma* / therapy
  • Mutation
  • Uveal Neoplasms* / diagnosis
  • Uveal Neoplasms* / genetics
  • Uveal Neoplasms* / therapy

Supplementary concepts

  • Uveal melanoma