Review of recent advances in managing periocular skin malignancies

Management of cutaneous malignancies can be particularly challenging when they are located in the periocular region. The standard of care for localized disease is complete surgical excision, but this may not be possible without significant disruption to visual structures and facial appearance. Defin...

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Main Authors: Daniel C. Trotier, Leslie Huang, Suzanne W. van Landingham, Adam R. Burr, Vincent T. Ma
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2024.1275930/full
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author Daniel C. Trotier
Daniel C. Trotier
Leslie Huang
Suzanne W. van Landingham
Suzanne W. van Landingham
Adam R. Burr
Adam R. Burr
Adam R. Burr
Vincent T. Ma
Vincent T. Ma
Vincent T. Ma
Vincent T. Ma
author_facet Daniel C. Trotier
Daniel C. Trotier
Leslie Huang
Suzanne W. van Landingham
Suzanne W. van Landingham
Adam R. Burr
Adam R. Burr
Adam R. Burr
Vincent T. Ma
Vincent T. Ma
Vincent T. Ma
Vincent T. Ma
author_sort Daniel C. Trotier
collection DOAJ
description Management of cutaneous malignancies can be particularly challenging when they are located in the periocular region. The standard of care for localized disease is complete surgical excision, but this may not be possible without significant disruption to visual structures and facial appearance. Definitive radiation may be an option for some patients who cannot or do not wish to undergo surgery. Advances in systemic treatment options for locally advanced and metastatic skin cancers in the past 10 years have prompted investigation into neoadjuvant treatment of periocular cancers. The use of chemotherapy, immune checkpoint inhibitors, and targeted therapies have all been reported with varying degrees of success. For many patients, targeted therapies or immune checkpoint inhibitors should be considered depending on the cancer type, symptoms, and goals with the input of a multidisciplinary cancer care team. In this article, we systematically review the latest updates in surgical, radiotherapeutic, and medical management of periocular malignancies.
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spelling doaj.art-056051d286024f5dad8deaf865f2ea0f2024-03-04T04:38:32ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2024-03-011410.3389/fonc.2024.12759301275930Review of recent advances in managing periocular skin malignanciesDaniel C. Trotier0Daniel C. Trotier1Leslie Huang2Suzanne W. van Landingham3Suzanne W. van Landingham4Adam R. Burr5Adam R. Burr6Adam R. Burr7Vincent T. Ma8Vincent T. Ma9Vincent T. Ma10Vincent T. Ma11University of Wisconsin School of Medicine & Public Health, Madison, WI, United StatesDepartment of Medicine, Division of Hematology, Medical Oncology, and Palliative Care, University of Wisconsin-Madison, Madison, WI, United StatesUniversity of Wisconsin School of Medicine & Public Health, Madison, WI, United StatesUniversity of Wisconsin School of Medicine & Public Health, Madison, WI, United StatesDepartment of Ophthalmology and Visual Sciences, University of Wisconsin-Madison, Madison, WI, United StatesUniversity of Wisconsin School of Medicine & Public Health, Madison, WI, United StatesDepartment of Human Oncology, University of Wisconsin-Madison, Madison, WI, United StatesUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, United StatesUniversity of Wisconsin School of Medicine & Public Health, Madison, WI, United StatesDepartment of Medicine, Division of Hematology, Medical Oncology, and Palliative Care, University of Wisconsin-Madison, Madison, WI, United StatesUniversity of Wisconsin Carbone Cancer Center, University of Wisconsin-Madison, Madison, WI, United StatesDepartment of Dermatology, University of Wisconsin-Madison, Madison, WI, United StatesManagement of cutaneous malignancies can be particularly challenging when they are located in the periocular region. The standard of care for localized disease is complete surgical excision, but this may not be possible without significant disruption to visual structures and facial appearance. Definitive radiation may be an option for some patients who cannot or do not wish to undergo surgery. Advances in systemic treatment options for locally advanced and metastatic skin cancers in the past 10 years have prompted investigation into neoadjuvant treatment of periocular cancers. The use of chemotherapy, immune checkpoint inhibitors, and targeted therapies have all been reported with varying degrees of success. For many patients, targeted therapies or immune checkpoint inhibitors should be considered depending on the cancer type, symptoms, and goals with the input of a multidisciplinary cancer care team. In this article, we systematically review the latest updates in surgical, radiotherapeutic, and medical management of periocular malignancies.https://www.frontiersin.org/articles/10.3389/fonc.2024.1275930/fullperiocular malignancycutaneous squamous cell carcinomabasal cell carcinomamelanomaMerkel cell carcinomasebaceous gland carcinoma
spellingShingle Daniel C. Trotier
Daniel C. Trotier
Leslie Huang
Suzanne W. van Landingham
Suzanne W. van Landingham
Adam R. Burr
Adam R. Burr
Adam R. Burr
Vincent T. Ma
Vincent T. Ma
Vincent T. Ma
Vincent T. Ma
Review of recent advances in managing periocular skin malignancies
Frontiers in Oncology
periocular malignancy
cutaneous squamous cell carcinoma
basal cell carcinoma
melanoma
Merkel cell carcinoma
sebaceous gland carcinoma
title Review of recent advances in managing periocular skin malignancies
title_full Review of recent advances in managing periocular skin malignancies
title_fullStr Review of recent advances in managing periocular skin malignancies
title_full_unstemmed Review of recent advances in managing periocular skin malignancies
title_short Review of recent advances in managing periocular skin malignancies
title_sort review of recent advances in managing periocular skin malignancies
topic periocular malignancy
cutaneous squamous cell carcinoma
basal cell carcinoma
melanoma
Merkel cell carcinoma
sebaceous gland carcinoma
url https://www.frontiersin.org/articles/10.3389/fonc.2024.1275930/full
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