Abstract
Melanoma is a significant health problem worldwide. Available treatments can induce transient tumor regression in a small percentage of patients; however, these responses are not always associated with improved long-term survival. The mechanisms underlying therapeutic resistance and tumor recurrence in melanoma are still elusive. Tumor escape as a result of cancer cell heterogeneity and genomic instability may explain the persistence of disease despite an apparent primary response to therapy. For a long time, the accumulation of random mutations was believed to be associated with progressive transformation of normal cells into malignant cells, based on a classic “survival of the fittest” evolutionary model. Among other factors, these genetic alterations were also believed to be responsible for the acquisition of drug resistance during treatment.
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Liu, Q., Sabatino, M., Stroncek, D.F., Jin, P., Marincola, F.M., Wang, E. (2012). Melanoma Cell Propagation: Cancer Stem Cell, Clonal Evolution and Interconversion Models of Tumorigenicity. In: Murphy, M. (eds) Diagnostic and Prognostic Biomarkers and Therapeutic Targets in Melanoma. Current Clinical Pathology. Springer, New York, NY. https://doi.org/10.1007/978-1-60761-433-3_17
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