Epidemiology, management, and treatment outcomes of metastatic spinal melanoma

David X. Zheng, Sauson Soldozy, Kathleen M. Mulligan, Melissa A. Levoska, Erin F. Cohn, Ariel Finberg, Peter Alsaloum, Thomas B. Cwalina, Simon J. Hanft, Jeffrey F. Scott, Luke D. Rothermel, Vinod E. Nambudiri

Research output: Contribution to journalReview articlepeer-review

Abstract

Metastatic spinal melanoma is a rare and aggressive disease process with poor prognosis. We review the literature on metastatic spinal melanoma, focusing on its epidemiology, management, and treatment outcomes. Demographics of metastatic spinal melanoma are similar to those for cutaneous melanoma, and cutaneous primary tumors tend to be most common. Decompressive surgical intervention and radiotherapy have traditionally been considered mainstays of treatment, and stereotactic radiosurgery has emerged as a promising approach in the operative management of metastatic spinal melanoma. While survival outcomes for metastatic spinal melanoma remain poor, they have improved in recent years with the advent of immune checkpoint inhibition, used in conjunction with surgery and radiotherapy. New treatment options remain under investigation, especially for patients with disease refractory to immunotherapy. We additionally explore several of these promising future directions. Nevertheless, further investigation of treatment outcomes, ideally incorporating high-quality prospective data from randomized controlled trials, is needed to identify optimal management of metastatic spinal melanoma.

Original languageEnglish (US)
Article number100156
JournalWorld Neurosurgery: X
Volume18
DOIs
StatePublished - Apr 2023
Externally publishedYes

Keywords

  • Melanoma
  • Neuroimmunology
  • Neurooncology
  • Spinal melanoma
  • Spinal metastasis

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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