NTTS 2017

Metastatic melanoma in a locoregional fashion is a difficult clinical scenario to treat. Presentations vary widely. Treatments range from surgical excision to intra-arterial therapy such as isolated limb infusion and isolated limb perfusion, intralesional therapy with oncolytic viruses such as TVEC, systemic therapy's with immunotherapy or targeted therapy also play a role. Decision making is based on age of the patient, medical comorbidities, burden of disease, available treatments, molecular analysis of the tumor for mutations and a strong and close patient and physician relationship. This talk will discuss the available options to treat locoregional metastatic melanoma.