A prospective population-based study of cutaneous malignant melanoma of the head and neck
| Autor: | Eva Månsson-Brahme, Peter Gillgren, Jan Frisell, Olle Larsson, Hemming Johansson, Ulrik Ringborg |
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| Rok vydání: | 2000 |
| Předmět: |
Male
medicine.medical_specialty Surgical margin Multivariate analysis Skin Neoplasms Population medicine Humans Neoplasm Invasiveness Prospective Studies Registries education Survival rate Melanoma Survival analysis Sweden education.field_of_study business.industry medicine.disease Prognosis Surgery Cancer registry Survival Rate Treatment Outcome Otorhinolaryngology Tumor progression Head and Neck Neoplasms Population Surveillance Female Radiology business |
| Zdroj: | Karolinska Institutet |
| ISSN: | 0023-852X |
| Popis: | Objectives/Hypothesis For cutaneous malignant melanoma (CMM) of the head and neck, neither prognostic factors in population-based groups, nor outcome with respect to surgical resection margins is clear. Therefore, we analyzed data in a regional registry to align treatment results for CMM of the head and neck with prognosis and survival times. Study Design Patient material collected prospectively for an 18-year period in a Swedish cancer registry underwent statistical analyses to establish the most reliable prognostic factors and the influence of surgical treatment on the survival of patients with CMM of the head and neck. Methods Data originated from the CMM database of the Stockholm-Gotland area of Sweden. Tumor thickness or invasiveness (Breslow or Clark's levels), extent of surgical margin, sex, histogenetic type, anatomic site, and ulceration were compared statistically for 469 patients. Results Male patients with head and neck CMM had a 68% 10-year survival rate; the 10-year survival rate for female patients was 87%. The corresponding figures for CMM at other sites were 83% and 90%, respectively. Tumor thickness (or Clark level of invasion) was the only statistically significant prognostic factor in a multivariate analysis (P < .001). The surgical resection margin seemed to be of no importance to outcome. Conclusions Long-term survival after treatment for CMM of the head and neck is better than reported in most earlier publications, presumably because our evaluation used population-based materials, an important factor in accurate reporting of this kind. Tumor thickness is the main prognostic factor in estimating outcome. |
| Databáze: | OpenAIRE |
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