Vitiligo and tumor response in a patient with amelanotic melanoma undergoing nivolumab treatment.

Int Cancer Conf J

Department of Clinical Oncology and Chemotherapy, Nagoya University Hospital, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550 Japan.

Published: January 2022

AI Article Synopsis

  • Vitiligo is a skin condition that can occur as an immune response during treatment for melanoma with immune checkpoint inhibitors, like nivolumab.
  • Patients with vitiligo often show a better therapeutic response to melanoma treatments, but it's unclear if this applies to amelanotic melanoma, which has little pigmentation.
  • A case study of a patient with amelanotic melanoma of the esophagus treated with nivolumab showed a positive tumor response and subsequent development of vitiligo, suggesting a potential link between vitiligo and treatment effectiveness in this specific subtype.

Article Abstract

Vitiligo, an acquired depigmenting disorder of the skin that reacts against normal melanocytes, sometimes occurs as an immune-related adverse event in the treatment of melanoma with immune checkpoint inhibitors. It has been known that the occurrence of vitiligo is associated with a favorable therapeutic response in patients with melanoma, but it is not yet clear whether the association also applies to amelanotic melanoma, a minor subtype of melanoma with little or no melanin pigmentation. We report a patient with amelanotic melanoma of the esophagus who responded well to nivolumab treatment. Shortly after the tumor response, vitiligo was found on the patient's forearms. This case suggests that the occurrence of vitiligo is associated with a favorable response to nivolumab treatment for amelanotic melanoma.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8787012PMC
http://dx.doi.org/10.1007/s13691-021-00515-wDOI Listing

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