Lethal Melanomas: A Population-based Registry Study in Western Sweden from 1990 to 2014
DOI:
https://doi.org/10.2340/00015555-2758Keywords:
cutaneous malignant melanoma, thin melanomas, melanoma survival, histopathological subtype, ulceration, anatomical locationAbstract
The incidence rates of thin melanomas (≤1 mm Breslow thickness) have increased in many fair-skinned populations, prompting a need to better identify patients with thin melanomas who will eventually die from the disease. This study aimed to describe the clinicopathological characteristics of lethal melanomas in Western Sweden, with a focus on thin lesions. Population-based data on invasive melanomas diagnosed during the years 1990 to 2014 were extracted from the Swedish Melanoma Registry, and linked to the Swedish Cause of Death Registry. The age-standardized incidence (US population 2000) of thin melanomas increased from 9.1?10?5 (95% confidence interval (95% CI) 8.5?9.8) to 21.3?10?5 (95% CI 20.4?22.1) during the study period. Thin melanomas comprised 55.2% of the total and contributed to 13.5% of all melanoma deaths. Non-ulcerated melanomas 0.76?1 mm and ulcerated melanomas 0.26?1.0 mm showed a poorer survival compared with other thin melanomas.Downloads
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Copyright (c) 2017 Magdalena Claeson, Martin Gillstedt, David C. Whiteman, John Paoli
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