Summary
BCG systemic adjuvant immunotherapy may be effective for improving both the recurrence and survival rates in patients with regional metastases from malignant melanoma. Clinical trials show that many of the principles derived from the study of animal tumor systems are applicable to human cancer in that immunotherapy is most effective for a small residual number of tumor cells. BCG treatment fulfills many of the ideal criteria for adjuvant treatment following surgery when disease burden is lowest. It is relatively nontoxic; it is effective for disseminated melanoma; it has systemic activity in the adjuvant treatment of subclinical metastases. However, until clinical trials are complete, BCG adjuvant therapy must be considered investigational.
Similar content being viewed by others
References
Bluming, A. Z., Vogel, C. L., Ziegler, J. L., Mody, W., Komya, G.: Immunological effects of BCG in malignant melanoma: Two modes of administration compared. Ann. Intern. Med. 76, 405 (1972)
Cutler, S. J., Ederer, F.: Maximum utilization of the life table method in analyzing survival. J. Chron. Dis. 8, 699 (1958)
Eilber, F. R., Morton, D. L.: Impaired immunologic reactivity and recurrence following cancer surgery. Cancer 25, 362 (1970)
Gutterman, J. U., Mavligit, G., McBride, C., Frei, E., III, Freireich, E. J., Hersh, E. M.: Active immunotherapy with BCG for recurrent malignant melanoma. Lancet 1, 1208 (1973)
Gutterman, J. U., Mavligit, G., Gottlieb, J. A., Burgess, M. A., McBride, C. E., Einhorn, L., Freireich, E., Hersh, E. M.: Chemo-immunotherapy of disseminated malignant melanoma with dimethyl triazeno imidazole carboxamide (DTIC) and bacillus Calmette-Guerin (BCG). N. Engl. J. Med. 291, 592 (1974)
Gutterman, J. U., Mavligit, G., Reed, R., Richman, S., McBride, C. E., Hersh, E M.: Immunology and immunotherapy of human malignant melanoma: Historic review and perspectives for the future. Sem. Oncology 2, 155 (1975)
Hellstrom, I., Hellstrom, K. E., Sjogren, H. O., Warner, G. A.: Demonstration of cell-mediated immunity to human neoplasms of various histological types. Int. J. Cancer 7, 1 (1971)
Knutson, C. O., Hori, J. M., Spratt, J. S., Jr.: Melanoma. In: Current Problems in Surgery, pp. 1–55. Chicago: Year Book Medical Publishers, Inc., 1971
Lewis, M. G., Ikonopisov, R. L., Nairn, R. C., Alexander, P.: Tumor-specific antibodies in human malignant melanoma and their relationship to the extent of the disease. Br. Med. J. 1, 547 (1969)
Morton, D. L., Malmgren, R. A., Holmes, E. C., Ketcham, A. S.: Demonstration of antibodies against human malignant melanoma by immunofluorescence. Surgery 64, 233 (1968)
Morton, D. L., Eilber, F. R., Malmgren, R. A., Wood, W. C.: Immunologic factors which influence response to immunotherapy in malignant melanoma. Surgery 68, 158 (1970)
Morton, D. L., Eilber, F. R., Joseph, W. L., Wood, W. C., Trahan, E., Ketcham, A. S.: Immunologic factors in human sarcomas and melanomas: A rational basis for immunotherapy. Ann. Surg. 172, 740 (1970)
Morton, D. L., Eilber, F. R., Holmes, E. C., Hunt, J. S., Ketcham, A. S., Silverstein, M. J., Sparks, F. C.: BCG immunotherapy of malignant melanoma: Summary of a seven-year experience. Ann. Surgery 180, 635 (1974)
Morton, D. L.: Cancer immunotherapy: An overview. Sem. Oncology 1, 297 (1974)
Muna, N. M., Marcus, S., Smart, C.: Detection by immunofluorescence of antibodies specific for human malignant melanoma cells. Cancer 23, 88 (1969)
Nathanson, L.: Regression of intradermal malignant melanoma after intralesional injection of BCG. Cancer Chemo. Rep. 56, 659 (1972)
Oettgen, H. F., Aoki, T., Old, L. J., Boyse, E. A., DeHarven, E., Mills, G. M.: Suspension culture of a pigment-producing cell line derived from a human malignant melanoma. J. Nat. Cancer Inst. 41, 827 (1968)
Pinsky, C., Hisschant, G., Oettgen, H.: Treatment of malignant melanoma by intralesional injection of BCG. Proc. Amer. Assoc. Cancer Res. 13, 21 (1972)
Seigler, H. F., Shingleton, W. W., Metzgar, R. S., Buckley, C. E., Bergoe, P. M., Miller, D. S., Fetter, B. F., Phaup, M. G.: Nonspecific and specific immunotherapy in patients with melanoma. Surgery 72, 162 (1972)
Sparks, F. C., Silverstein, M. J., Hunt, J. S., Haskell, C. M., Pilch, Y. H., Morton, D. L.: Complications of BCG immunotherapy in patients with cancer. New Engl. J. Med. 289, 827 (1973)
Sparks, F. C., Breeding, J. H.: Tumor regression and enhancement resulting from immunotherapy with bacillus Calmette-Guerin and neuriminidase. Cancer Res. 34, 3262 (1974)
Author information
Authors and Affiliations
Additional information
Supported by USPHS grants CA05252, CA12582, and NIH 0732001 CB43852.
Rights and permissions
About this article
Cite this article
Morton, D.L., Eilber, F.R., Holmes, E.C. et al. Present status of BCG immunotherapy of malignant melanoma. Cancer Immunol Immunother 1, 93–98 (1976). https://doi.org/10.1007/BF00205300
Issue Date:
DOI: https://doi.org/10.1007/BF00205300