In-transit melanoma metastases: Evaluation and Management for the Dermatologist.

J Am Acad Dermatol

Mayo Clinic, Department of Dermatology, Rochester, MN, USA. Electronic address:

Published: March 2025

In-transit metastases (ITM) are estimated to occur in 5-10% of primary cutaneous melanomas. They are classified as stage III disease in the American Joint Committee on Cancer classification system and are associated with approximately a 30% 10-year survival rate. The management of ITM is not standardized. Treatment options depend on the number of lesions, location, distribution of ITM and general medical condition of the patient. Topical, local, regional, and systemic treatment options can be considered for treatment. Dermatologists may play a unique role in management through skin-directed therapies.

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http://dx.doi.org/10.1016/j.jaad.2025.03.005DOI Listing

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