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Clinical Challenges with Talimogene Laherparepvec: Cured Lymph Nodes Masquerading as Active Melanoma
Journal article   Open access   Peer reviewed

Clinical Challenges with Talimogene Laherparepvec: Cured Lymph Nodes Masquerading as Active Melanoma

Umang Swami, Brian Swick, Yousef Zakharia and Mohammed Milhem
Case reports in oncological medicine, Vol.2019, 4683531
01/01/2019
DOI: 10.1155/2019/4683531
PMCID: PMC6431461
PMID: 30963012
url
https://doi.org/10.1155/2019/4683531View
Published (Version of record) Open Access

Abstract

Talimogene laherparepvec is a novel, genetically engineered, oncolytic herpes virus approved for local treatment of unresectable cutaneous, subcutaneous, and nodal lesions in patients with melanoma recurrent after initial surgery. It is administered as an intralesional injection. However, if the lesion continues to persist, it presents with a clinical challenge as when to stop treatment. Herein, we present two cases from our institution wherein the disease appeared to be persistent radiologically; however, on pathological excision, there was no evidence of disease and patients continue to be in durable remission after stopping treatment.
Oncology Life Sciences & Biomedicine Science & Technology

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