Abstract
The recent use of vemurafenib, a specific inhibitor of BRAF, has led to a significant improvement in disease-free survival and overall survival of patients treated for a BRAF-mutated metastatic melanoma. This new class of drugs is not devoid of side effects, including skin effects. In particular, its association with concomitant radiotherapy should be taken into consideration, vemurafenib appearing to be radiosensitizer. The radiation oncologist must be aware of this potential toxicity, which is not uncommon in clinical practice.
Keywords:
Melanoma; Mélanome; Phénomène de rappel; Radiation recall; Radiation therapy; Radiosensibilisation; Radiosentitization; Radiothérapie; Vemurafenib; Vémurafénib.
Copyright © 2013 Société française de radiothérapie oncologique (SFRO). Published by Elsevier SAS. All rights reserved.
MeSH terms
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Combined Modality Therapy
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Fatal Outcome
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Fractures, Spontaneous / etiology
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Fractures, Spontaneous / radiotherapy
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Hand-Foot Syndrome / etiology
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Humans
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Indoles / administration & dosage
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Indoles / adverse effects*
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Indoles / therapeutic use
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Interferon alpha-2
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Interferon-alpha / therapeutic use
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Keratoacanthoma / etiology
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Keratoacanthoma / surgery
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Lymph Node Excision
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Lymphatic Metastasis
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Male
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Melanoma / drug therapy
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Melanoma / enzymology
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Melanoma / radiotherapy
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Melanoma / secondary
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Melanoma / surgery
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Middle Aged
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Mutation, Missense
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Neoplasm Proteins / antagonists & inhibitors
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Neoplasm Proteins / genetics
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Protein Kinase Inhibitors / administration & dosage
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Protein Kinase Inhibitors / adverse effects*
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Protein Kinase Inhibitors / therapeutic use
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Proto-Oncogene Proteins B-raf / antagonists & inhibitors
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Proto-Oncogene Proteins B-raf / genetics
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Radiation Tolerance / drug effects*
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Radiodermatitis / chemically induced*
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Radiodermatitis / etiology
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Radiotherapy, Adjuvant / adverse effects*
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Recombinant Proteins / therapeutic use
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Skin Neoplasms / drug therapy
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Skin Neoplasms / enzymology
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Skin Neoplasms / radiotherapy
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Spinal Neoplasms / radiotherapy
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Spinal Neoplasms / secondary
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Sulfonamides / administration & dosage
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Sulfonamides / adverse effects*
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Sulfonamides / therapeutic use
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Vemurafenib
Substances
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Indoles
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Interferon alpha-2
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Interferon-alpha
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Neoplasm Proteins
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Protein Kinase Inhibitors
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Recombinant Proteins
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Sulfonamides
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Vemurafenib
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BRAF protein, human
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Proto-Oncogene Proteins B-raf