Evidence map›Paper›PMID 42352494›Full record

ReviewCancers2026

Adjuvant Approaches in Fully Resected Stage III and IV Cutaneous Melanoma: Where Are We Now?

Luisa Piccin, Valentina Guarneri, Michele Del Vecchio, Andrea Spagnoletti, Paolo Fava, Gabriele Roccuzzo, Carolina Cimminiello, Nikolaos Papadopoulos, Alessandro Minisini, Jacopo Costa and 1 more

Abstract readReview
In one paragraph

Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Luisa PiccinMedical Oncology 2, Veneto Institute of Oncology IOV-IRCCS, 35128 Padova, Italy.ORCID 0000-0002-5148-4637
Valentina GuarneriMedical Oncology 2, Veneto Institute of Oncology IOV-IRCCS, 35128 Padova, Italy.
Michele Del VecchioFondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milano, Italy.ORCID 0000-0001-9060-2512
Andrea SpagnolettiFondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milano, Italy.ORCID 0000-0002-5293-1849
Paolo FavaDepartment of Medical Sciences, University of Turin, 10126 Torino, Italy.ORCID 0000-0002-8443-7458
Gabriele RoccuzzoDepartment of Medical Sciences, University of Turin, 10126 Torino, Italy.ORCID 0000-0001-7126-5506
Carolina CimminielloEuropean Institute of Oncology, IRCCS, 20141 Milano, Italy.ORCID 0009-0000-4219-4868
Nikolaos PapadopoulosEuropean Institute of Oncology, IRCCS, 20141 Milano, Italy.
Alessandro MinisiniDepartment of Oncology, Santa Maria della Misericordia University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), 33100 Udine, Italy.ORCID 0000-0001-7712-7286
Jacopo CostaDepartment of Oncology, Santa Maria della Misericordia University Hospital, Azienda Sanitaria Universitaria Friuli Centrale (ASUFC), 33100 Udine, Italy.
Jacopo PigozzoMedical Oncology 2, Veneto Institute of Oncology IOV-IRCCS, 35128 Padova, Italy.ORCID 0000-0003-2427-8915

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the scientific evidence regarding adjuvant treatment for stage III and IV cutaneous melanoma and the unresolved issues in this setting.

methodsThis review examines the main studies on adjuvant medical therapies approved over the years by the Food and Drug Administration and European Medicines Agency together with the main evidence related to the treatments referred to in the National Comprehensive Cancer Network and European Society of Clinical Oncology guidelines at the time of submission (May 2026) for stage III and IV cutaneous melanoma. A particular focus on immunotherapy (interferon, ipilimumab, and anti-PD-1 antibodies, both as monotherapy and in combination) and targeted therapy with anti-BRAF agents, either as monotherapy or in combination with MEK inhibitors, is given. Besides that, this work also evaluates the role of radiation therapy and addresses some unresolved issues, such as adjuvant therapy in stage IIIA and treatment selection in

resultsAdjuvant therapy for stage III and IV cutaneous melanoma has evolved over the years, starting with interferon and progressing to the use of immunocheckpoint inhibitors and targeted therapy. However, not all treatments that have proven effective in metastatic disease have subsequently played a role in the adjuvant setting.

conclusionsCurrently, adjuvant treatment for stage III and IV cutaneous melanoma involves the use of anti-PD-1 antibodies (nivolumab and pembrolizumab) and dabrafenib plus trametinib if the patient has a

Indexed as

adjuvant therapyimmunotherapymelanomatargeted therapy

Identifiers

PMID42352494
PMCPMC13296865

What OpenQuestion holds

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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.