Evidence map›Paper›PMID 41127564›Full record

ArticleEClinicalMedicine2025

Advanced stage melanoma during pregnancy: recommendations from a retrospective, multicentre, registry-based study.

Jessica S W Borgers, Douglas B Johnson, Elisabeth Livingstone, Dirk Schadendorf, Elizabeth I Buchbinder, Lauren E Haydu, Laura Gohil, William A Robinson, Inderjit Mehmi, Omid Hamid and 27 more

Abstract read
In one paragraph

Article in EClinicalMedicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Cancer survivorship in malignant melanoma.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

37 authors.

Jessica S W BorgersDepartment of Medical Oncology, Netherlands Cancer Institute, the Netherlands.
Douglas B JohnsonDepartment of Medicine, Vanderbilt University Medical Center, TN, USA.
Elisabeth LivingstoneDepartment of Dermatology, University Hospital Essen, Germany.
Dirk SchadendorfDepartment of Dermatology, University Hospital Essen, Germany.
Elizabeth I BuchbinderDepartment of Medical Oncology, Dana Farber Cancer Institute, MA, USA.
Lauren E HayduDepartment of Quantitative Health Sciences, Division of Clinical Trials and Biostatistics, Mayo Clinic, Jacksonville, FL, USA.
Laura GohilDepartment of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
William A RobinsonCenter for Rare Melanomas, CU Anschutz Medical Center, CO, USA.
Inderjit MehmiDepartment of Hematology Oncology, The Angeles Clinic and Research Institute, Cedar Sinai Affiliate, CA, USA.
Omid HamidDepartment of Hematology Oncology, The Angeles Clinic and Research Institute, Cedar Sinai Affiliate, CA, USA.
Michelle FerreiraDepartment of Medicine, Duke University, NC, USA.
April K S SalamaDepartment of Medicine, Duke University, NC, USA.
Florentia DimitriouDepartment of Dermatology, University Hospital of Zurich, Switzerland.
Matteo S CarlinoDepartment of Medical Oncology, Melanoma Institute Australia, The University of Sydney, Australia.
Georgina V LongDepartment of Medical Oncology, Melanoma Institute Australia, The University of Sydney, Australia.
Paolo A AsciertoDepartment of Melanoma, Istituto Nazionale Tumori Fondazione G, Pascale, Italy.
Ester SimeoneCancer Immunotherapy and Development Therapeutics Unit, Istituto Nazionale Tumori Fondazione G, Pascale, Italy.
Yana G NajjarDepartment of Hematology/Oncology, University of Pittsburgh Medical Center, PA, USA.
Geke A P HospersDepartment of Medical Oncology, University Medical Center Groningen, University of Groningen, the Netherlands.
Jacob ChoiDepartment of Medicine, Division of Hematology and Oncology, Northwestern University, IL, USA.
Sunandana ChandraDepartment of Medicine, Division of Hematology and Oncology, Northwestern University, IL, USA.
Jeffrey D WayneDivision of Surgical Oncology, Northwestern Memorial Hospital, IL, USA.
Carlos I R GarcíaDepartment of Medical Oncology, Centro de Investigación Clínica Bradford Hill, Chile.
Wen XuDepartment of Medical Oncology, Princess Alexandra Hospital, Brisbane, Australia.
Céleste LebbéDepartment of Dermatology, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris, France.
Laetitia Da-MedaDepartment of Dermatology, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris, France.
Victoria AtkinsonDepartment of Medical Oncology, Princess Alexandra Hospital, Australia.
Meredith MckeanSarah Cannon Research Institute, Tennessee Oncology, TN, USA.
Andrea ForschnerDepartment of Dermatology, Eberhard Karls University of Tuebingen, Germany.
Elliot A AsareDepartment of Surgery, University of Utah, Huntsman Cancer Institute, UT, USA.
Antonios DaletzakisDepartment of Biometrics, Netherlands Cancer Institute, the Netherlands.
Jolyn S TaylorDepartment of Gynecologic Oncology and Reproductive Medicine, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Frédéric AmantDepartment of Gynecology, Netherlands Cancer Institute, the Netherlands.
Katy K TsaiDepartment of Medicine, University of California San Francisco Helen Diller Family Comprehensive Cancer Center, USA.
Zeynep ErogluDepartment of Cutaneous Oncology, Moffitt Cancer Center, FL, USA.
John B A G HaanenDepartment of Medical Oncology, Netherlands Cancer Institute, the Netherlands.
Isabella C Glitza de OlivaDepartment of Melanoma Medical Oncology, University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Diagnosis and treatment of advanced melanoma during pregnancy represents a major challenge, with scarce data on outcome or management available. Therefore, the Melanoma Pregnancy Taskforce collected real-world data to understand the current management approaches. Methods: This retrospective, multicenter database included patients who were either diagnosed with advanced melanoma (newly diagnosed or recurrent) during pregnancy (group 1) or conceived while on systemic treatment (group 2) between 01/01/2011 and 07/31/2024. Information regarding patient, primary tumor and advanced melanoma characteristics, intervention or treatment during pregnancy, and outcomes of mother and fetus were collected using a standardized, de-identified form. Findings: 72 women from seven countries were identified. In group 1 (n = 63), nine pregnancies were terminated, and two miscarried. Median gestational age of live births was 34 weeks (IQR 32-37). Nine patients initiated systemic treatment during pregnancy; 56 (85%) of 66 switched or initiated new treatment after delivery. 5-year overall survival was 53% (95% CI 39-71), with median follow-up of 27 months (IQR 1.0-4.8 years). In group 2 (n = 10), four pregnancies were terminated, one miscarried. Of the six live births, median gestational age was 33 weeks (IQR 32-NR). Seven (63%) of nine initiated new or continued treatment after delivery. 5-year overall survival was 71% (95% CI 51-100), with median follow-up of 42 months (IQR 2.5-4.5 years). One neonate born at 26 weeks died after three days and one had a fatal congenital malformation. One child with third trimester vemurafenib-exposure had cardiac malformations, and two neonates experienced toxicity after Interpretation: Here, we present the data from the largest contemporary dataset of outcomes of women diagnosed with advanced stage melanoma during pregnancy and provide recommendations for the diagnosis and management of advanced melanoma during pregnancy. Funding: Not applicable.

Indexed as

GuidelinesImmunotherapyMelanomaOutcomesPregnancyTreatment

Identifiers

PMID41127564
PMCPMC12538904

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.