Advances in Skin Tumors: From Pathogenesis to Treatment Strategies

A special issue of Biomedicines (ISSN 2227-9059). This special issue belongs to the section "Cancer Biology and Oncology".

Deadline for manuscript submissions: 30 April 2026 | Viewed by 83

Special Issue Editors


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Guest Editor
Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
Interests: pediatric skin diseases; cutaneous soft tissue tumors; molecular pathology

E-Mail Website
Guest Editor
Department of Pathology and Dermatology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA
Interests: melanoma; spitz neoplasm; cutaneous lymphoma; molecular pathogenesis

Special Issue Information

Dear Colleagues,

Skin tumors, encompassing both benign and malignant lesions, represent a significant global health burden, with rising incidence rates in recent years. Among malignant skin tumors, melanocytic and non-melanocytic skin neoplasms pose major clinical challenges due to their complex pathogenesis, metastatic potential, and resistance to conventional therapies. Recent advances in molecular biology, immunology, and targeted therapeutics have revolutionized our understanding of skin tumorigenesis, paving the way for innovative diagnostic and treatment strategies.

This Special Issue aims to highlight cutting-edge research on the mechanisms driving skin tumor development, progression, and metastasis, as well as emerging therapeutic approaches, including immunotherapy, targeted therapy, and personalized medicine. For this Special Issue, we welcome original research articles and reviews. Research areas may include, but are not limited to the following:

  • Molecular pathogenesis and drivers of melanocytic and non-melanocytic skin tumors;
  • Tumor microenvironment and immune evasion mechanisms;
  • Novel diagnostic tools and prognostic biomarkers;
  • Advances in targeted therapy (e.g., BRAF/MEK inhibitors, Hedgehog pathway inhibitors);
  • Immunotherapy (e.g., immune checkpoint inhibitors, CAR-T cells, vaccines);
  • Drug resistance mechanisms and overcoming therapeutic challenges;
  • Emerging technologies (e.g., AI in diagnostics, nanotechnology-based treatments).

We look forward to receiving your contributions and collaborating to advance the field of skin tumor research.

Prof. Dr. Zhongxin Yu
Dr. Sepideh Nikki Asadbeigi
Guest Editors

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Keywords

  • melanoma skin
  • tumor epigenetic alterations
  • genetic mutations
  • tumor microenvironment immunotherapy
  • targeted therapy
  • nanomedicine

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Published Papers (1 paper)

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Research

15 pages, 3156 KB  
Article
Spatial Distribution and Phenotypic Profiling of Cd68+ and Cd163+ Macrophages in Melanoma Progression: Insights into Tumor Microenvironment Dynamics
by Grigory Demyashkin, Dmitrii Atiakshin, Kirill Silakov, Vladimir Shchekin, Maxim Bobrov, Matvey Vadyukhin, Tatyana Borovaya, Ekaterina Blinova, Petr Shegay and Andrei Kaprin
Biomedicines 2025, 13(9), 2178; https://doi.org/10.3390/biomedicines13092178 (registering DOI) - 5 Sep 2025
Abstract
Background: Macrophages are key components of the tumor microenvironment and play a critical role in melanoma progression. However, the dynamics of different macrophage subsets, particularly CD68+ and CD163+ populations, in relation to tumor thickness and stage remain insufficiently characterized. Objective: [...] Read more.
Background: Macrophages are key components of the tumor microenvironment and play a critical role in melanoma progression. However, the dynamics of different macrophage subsets, particularly CD68+ and CD163+ populations, in relation to tumor thickness and stage remain insufficiently characterized. Objective: This study aimed to quantitatively assess intratumoral and peritumoral CD68+ and CD163+ macrophages in cutaneous melanoma and to investigate their associations with Breslow thickness, pT stage, and AJCC stage. Methods: We conducted a retrospective cohort study of 126 patients with cutaneous melanoma (AJCC stages IA–IIID). Tumor samples were examined histologically and immunohistochemically for CD68+ and CD163+ macrophages, and quantitative analysis was performed in intratumoral and peritumoral regions. Results: This study included 126 patients with cutaneous melanoma, ranging in stage from IA to IIID. Histopathological analysis revealed that melanoma tissues were primarily composed of irregular clusters of atypical melanocytic cells infiltrating the dermis and subcutaneous fat. Immunohistochemical staining identified CD68+ and CD163+ macrophages both within the tumor and in the surrounding stroma. Macrophage infiltration significantly increased with tumor thickness (Breslow) and progression to more advanced stages. Specifically, at Breslow thickness <1.0 mm, the mean number of CD68+ macrophages in the intratumoral zone was 29.7 ± 4.3 cells, increasing to 70.3 ± 6.4 cells in tumors >4.0 mm. CD163+ macrophages showed similar trends, with a rise from 15.6 ± 2.8 cells at <1.0 mm to 39.8 ± 4.6 cells at >4.0 mm in the intratumoral zone. Additionally, macrophage density was higher in tumors with ulceration, and both CD68+ and CD163+ macrophage numbers increased progressively with tumor stage, particularly in advanced stages. The number of CD68+ macrophages at stage IA in the intratumoral zone was 21.6 ± 3.1 cells and increased to 56.4 ± 6.8 cells at stage IIID, while CD163+ macrophages rose from 13.8 ± 3.2 cells at stage IA to 36.4 ± 4.6 cells at stage IIID. This suggests that macrophage infiltration, particularly CD163+ cells, correlates with melanoma progression. Conclusions: Our findings highlight distinct spatial and phenotypic patterns of macrophage infiltration in melanoma progression. The prominent increase in CD68+ and CD163+macrophages suggests their important role in tumor-associated immunomodulation. Further studies are warranted to elucidate macrophage polarization states and their prognostic and therapeutic implications in melanoma. Full article
(This article belongs to the Special Issue Advances in Skin Tumors: From Pathogenesis to Treatment Strategies)
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