Tumour regression predicts better response to interferon therapy in melanoma patients a retrospective single centre study. /

We hypothesise that regression may have an impact on the effectiveness of adjuvant IFN therapy, based on its role in the host immune response. Our purpose is to investigate regression and ulceration as prognostic factors in case of interferon-alpha (IFN)-treated melanoma patients. We followed 357 IF...

Teljes leírás

Elmentve itt :
Bibliográfiai részletek
Szerzők: Mezőlaki Noémi
Baltás Eszter
Ócsai Henriette
Varga Anita
Korom Irma
Varga Erika
Németh István Balázs
Kis Erika
Varga János
Kocsis Ádám László
Gyulai Rolland Péter
Bukva Mátyás
Kemény Lajos
Oláh Judit Magdolna
Dokumentumtípus: Cikk
Megjelent: 2024
Sorozat:MELANOMA RESEARCH 34 No. 1
Tárgyszavak:
doi:10.1097/CMR.0000000000000935

mtmt:34523817
Online Access:http://publicatio.bibl.u-szeged.hu/29716
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040 |a SZTE Publicatio Repozitórium  |b hun 
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100 1 |a Mezőlaki Noémi 
245 1 0 |a Tumour regression predicts better response to interferon therapy in melanoma patients   |h [elektronikus dokumentum] :  |b a retrospective single centre study. /  |c  Mezőlaki Noémi 
260 |c 2024 
300 |a 54-62 
490 0 |a MELANOMA RESEARCH  |v 34 No. 1 
520 3 |a We hypothesise that regression may have an impact on the effectiveness of adjuvant IFN therapy, based on its role in the host immune response. Our purpose is to investigate regression and ulceration as prognostic factors in case of interferon-alpha (IFN)-treated melanoma patients. We followed 357 IFN-treated melanoma patients retrospectively, investigating progression-free survival (PFS) and overall survival (OS) depending on the presence of ulceration and regression. A Kaplan-Meier analysis was performed, and we used a Cox regression analysis to relate risk factors. The survival function of the Cox regression was used to measure the effect of regression and ulceration on PFS and OS depending on the Breslow thickness (T1-T4) of the primary tumour. Regression was significantly positively related to PFS ( P = 0.0018, HR = 0.352) and OS ( P = 0.0112, HR = 0.380), while ulceration showed a negative effect (PFS: P = 0.0001, HR = 2.629; OS: P = 0.0003, HR = 2.388). They influence survival independently. The most favourable outcome was measured in the regressed/non-ulcerated group, whereas the worse was in the non-regressed/ulcerated one. Of risk factors, Breslow thickness is the most significant predictor. The efficacy of regression is regardless of Breslow thickness, though the more favourable the impact of regression was in the thicker primary lesions. Our results indicate that regression is associated with a more favourable outcome for IFN-treated melanoma patients, whereas ulceration shows an inverse relation. Further studies are needed to analyse the survival benefit of regression in relation to innovative immune checkpoint inhibitors. 
650 4 |a Klinikai orvostan 
700 0 1 |a Baltás Eszter  |e aut 
700 0 1 |a Ócsai Henriette  |e aut 
700 0 1 |a Varga Anita  |e aut 
700 0 1 |a Korom Irma  |e aut 
700 0 1 |a Varga Erika  |e aut 
700 0 1 |a Németh István Balázs  |e aut 
700 0 1 |a Kis Erika  |e aut 
700 0 1 |a Varga János  |e aut 
700 0 1 |a Kocsis Ádám László  |e aut 
700 0 1 |a Gyulai Rolland Péter  |e aut 
700 0 1 |a Bukva Mátyás  |e aut 
700 0 1 |a Kemény Lajos  |e aut 
700 0 1 |a Oláh Judit Magdolna  |e aut 
856 4 0 |u http://publicatio.bibl.u-szeged.hu/29716/1/mr-34-54.pdf  |z Dokumentum-elérés