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April 11, 2026Case Reports in Oncological Medicine1 citationsOpen Access

Acral Lentiginous Melanoma With NRAS Mutation and Ocular Surface Toxicity Following Immunotherapy and Investigational KRASG12C Inhibitor: Case Report

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EHElisah M. HuynhAGAndrew GregoryPCPeter Y. Chang

Key Points

  • To address ocular surface toxicity resulting from systemic therapies in a case of acral lentiginous melanoma with NRAS mutation.
  • Clinical trial enrollment for anti-RAS agent RMC-6236
  • Evaluation of ocular surface health
  • Monitoring corneal defects and their progression
  • Patient developed chronic bilateral corneal epithelial defects
  • Corneal thinning observed as a side effect of targeted therapy
  • Findings emphasize the significance of multidisciplinary management in cancer treatment

Abstract

We report the case of a patient with metastatic foot melanoma enrolled in a clinical trial of the anti‐RAS agent RMC‐6236 who developed chronic bilateral corneal epithelial defects and thinning, likely secondary to the systemic effects of targeted therapy. This case highlights the ocular surface toxicity associated with systemic anticancer therapies affecting rapidly dividing cells and the overall importance of multidisciplinary medical management of these systemic therapeutics.

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Cite This Study

Huynh et al. (2026) studied this question.

synapsesocial.com/papers/69d9e5ec78050d08c1b76302https://doi.org/10.1155/crom/7529882
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