This protocol addresses patients with amelanocytic melanoma who have undergone complete surgical resection and present as resected stage IIIB–IV disease with no evidence of disease (NED), or as resected stage III cutaneous melanoma.
Adjuvant systemic therapy initiated within a defined window after complete resection is central to management. The appropriate approach differs depending on disease stage and tumour molecular characteristics.
Adjuvant systemic therapy options are anti-PD-1 therapy (nivolumab for resected stage IIIB-IV NED [I, A; ESMO-MCBS v1.1 score: no evaluable benefit] or pembrolizumab for resected stage III [I, A; ESMO-MCBS v1.1 score: A]) or dabrafenib+trametinib for patients with resected stage III BRAF V600E-mutated melanoma [I, A; ESCAT score: I-A].
These treatments should be given within 12 weeks of complete resection [I, A].
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