Melanoma Clinical Trial
Official title:
Procurement of Central Nervous System and Extracranial Tumor Tissues, Cerebrospinal Fluid, and Blood From Patients With Melanoma Brain Metastases
The purpose of this study is to collect and bank samples of blood and tissues (such as brain tissue or lymph nodes), as well as cerebrospinal fluid (CSF), which is the fluid that bathes and cushions the spinal cord. The investigator will analyze DNA biomarkers in the samples. The investigator hopes that by studying the biomarkers, he can develop tests in the future that can detect central nervous system (CNS) metastasis in blood samples before they show up on x-ray and develop medicines that can specifically target CNS metastasis.
Among the different sites to which melanoma can spread, the Central Nervous System (CNS) has
the highest chance of developing metastases. Prognosis for metastatic melanoma involving the
CNS is worse than that of CNS metastases from other cancers. Therefore, it is felt that early
identification of this condition, even before it is found on x-ray (either MRI or CT scan),
would be beneficial so that patients can undergo treatment earlier.
The investigator hypothesizes that the tumor cell genetics, expressed proteins, and/or
signaling pathways of melanoma brain metastases may exhibit features that distinguish
melanoma brain metastases. The investigator further hypothesizes that melanoma brain
metastases may be associated with changes in the cerebrospinal fluid, where protein fragments
expressed by melanoma brain metastases may be shed that cannot be found in normal CNS
tissues, extracranial metastases (MEM) or at the same levels in the peripheral blood.
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