La maladie de Parkinson au Canada (serveur d'exploration)

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Increased Melanoma Risk in Parkinson Disease: A Prospective Clinicopathological Study

Identifieur interne : 001D04 ( Main/Exploration ); précédent : 001D03; suivant : 001D05

Increased Melanoma Risk in Parkinson Disease: A Prospective Clinicopathological Study

Auteurs : John M. Bertoni [États-Unis] ; John Philip Arlette [Canada] ; Hubert H. Fernandez [États-Unis] ; Cheryl Fitzer-Attas [Israël] ; Karen Frei [États-Unis] ; Mohamed N. Hassan [États-Unis] ; Stuart H. Isaacson [États-Unis] ; Mark F. Lew [États-Unis] ; Eric Molho [États-Unis] ; William G. Ondo [États-Unis] ; Tania J. Phillips [États-Unis] ; Carlos Singer [États-Unis] ; James P. Sutton [États-Unis] ; John E. Jr Wolf [États-Unis]

Source :

RBID : Pascal:10-0157161

Descripteurs français

English descriptors

Abstract

Objective: To evaluate the possible association of Parkinson disease (PD) and melanoma in North America. Design, Setting, and Patients: Thirty-one centers enrolled patients with idiopathic PD. At visit 1, a neurologist obtained a medical history. At visit 2, a dermatologist recorded melanoma risk factors, performed a whole-body examination, and performed a biopsy of lesions suggestive of melanoma for evaluation by a central dermatopathology laboratory. We compared overall prevalence of melanoma with prevalence calculated from the US Surveillance Epidemiology and End Results (SEER) cancer database and the American Academy of Dermatology skin cancer screening programs. Results: A total of 2106 patients (mean [SD] age, 68.6 [10.6] years; duration of PD, 7.1 [5.7] years) completed the study. Most (84.8%) had received levodopa. Dermatology examinations revealed 346 pigmented lesions; dermatopathological findings confirmed 20 in situ melanomas (0.9%) and 4 invasive melanomas (0.2%). In addition, histories revealed 68 prior melanomas (3.2%). Prevalence (5-year limited duration) of invasive malignant melanoma in the US cohort of patients with PD (n=1692) was 2.24-fold higher (95% confidence interval, 1.21-4.17) than expected in age- and sex-matched populations in the US SEER database. Age- or sex-adjusted relative risk of any melanoma for US patients was more than 7 times that expected from confirmed cases in American Academy of Dermatology skin cancer screening programs. Conclusions: Melanoma prevalence appears to be higher in patients with PD than in the general population. Despite difficulties in comparing other databases with this study population, the study supports increased melanoma screening in patients with PD.


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<name sortKey="Hassan, Mohamed N" sort="Hassan, Mohamed N" uniqKey="Hassan M" first="Mohamed N." last="Hassan">Mohamed N. Hassan</name>
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<region type="state">Connecticut</region>
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<name sortKey="Isaacson, Stuart H" sort="Isaacson, Stuart H" uniqKey="Isaacson S" first="Stuart H." last="Isaacson">Stuart H. Isaacson</name>
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<s1>Parkinson's Disease and Movement Disorders Center</s1>
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<country>États-Unis</country>
<placeName>
<region type="state">Floride</region>
</placeName>
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<name sortKey="Lew, Mark F" sort="Lew, Mark F" uniqKey="Lew M" first="Mark F." last="Lew">Mark F. Lew</name>
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<settlement type="city">Los Angeles</settlement>
<region type="state">Californie</region>
<settlement type="city">Los Angeles</settlement>
</placeName>
<orgName type="university">Université de Californie du Sud</orgName>
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<name sortKey="Molho, Eric" sort="Molho, Eric" uniqKey="Molho E" first="Eric" last="Molho">Eric Molho</name>
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<s1>Movement Disorders Center, Albany Medical Center</s1>
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<sZ>9 aut.</sZ>
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<country>États-Unis</country>
<placeName>
<region type="state">État de New York</region>
</placeName>
</affiliation>
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<name sortKey="Ondo, William G" sort="Ondo, William G" uniqKey="Ondo W" first="William G." last="Ondo">William G. Ondo</name>
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<s1>Baylor College of Medicine</s1>
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<placeName>
<region type="state">Texas</region>
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<name sortKey="Phillips, Tania J" sort="Phillips, Tania J" uniqKey="Phillips T" first="Tania J." last="Phillips">Tania J. Phillips</name>
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<country>États-Unis</country>
<placeName>
<region type="state">Massachusetts</region>
</placeName>
</affiliation>
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<name sortKey="Singer, Carlos" sort="Singer, Carlos" uniqKey="Singer C" first="Carlos" last="Singer">Carlos Singer</name>
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<s1>University of Miami School of Medicine</s1>
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<s3>USA</s3>
<sZ>12 aut.</sZ>
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<country>États-Unis</country>
<placeName>
<region type="state">Floride</region>
</placeName>
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<name sortKey="Sutton, James P" sort="Sutton, James P" uniqKey="Sutton J" first="James P." last="Sutton">James P. Sutton</name>
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<sZ>13 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<region type="state">Californie</region>
</placeName>
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<name sortKey="Wolf, John E Jr" sort="Wolf, John E Jr" uniqKey="Wolf J" first="John E. Jr" last="Wolf">John E. Jr Wolf</name>
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<s1>Departments of Dermatology, Baylor College of Medicine</s1>
<s3>USA</s3>
<sZ>14 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Houston</settlement>
<region type="state">Texas</region>
</placeName>
<orgName type="university">Baylor College of Medicine</orgName>
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<title level="j" type="main">Archives of neurology : (Chicago)</title>
<title level="j" type="abbreviated">Arch. neurol. : (Chic.)</title>
<idno type="ISSN">0003-9942</idno>
<imprint>
<date when="2010">2010</date>
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<title level="j" type="main">Archives of neurology : (Chicago)</title>
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<idno type="ISSN">0003-9942</idno>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Malignant melanoma</term>
<term>Nervous system diseases</term>
<term>Parkinson disease</term>
<term>Prospective</term>
<term>Risk factor</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Mélanome malin</term>
<term>Maladie de Parkinson</term>
<term>Pathologie du système nerveux</term>
<term>Facteur risque</term>
<term>Prospective</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Prospective</term>
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<front>
<div type="abstract" xml:lang="en">Objective: To evaluate the possible association of Parkinson disease (PD) and melanoma in North America. Design, Setting, and Patients: Thirty-one centers enrolled patients with idiopathic PD. At visit 1, a neurologist obtained a medical history. At visit 2, a dermatologist recorded melanoma risk factors, performed a whole-body examination, and performed a biopsy of lesions suggestive of melanoma for evaluation by a central dermatopathology laboratory. We compared overall prevalence of melanoma with prevalence calculated from the US Surveillance Epidemiology and End Results (SEER) cancer database and the American Academy of Dermatology skin cancer screening programs. Results: A total of 2106 patients (mean [SD] age, 68.6 [10.6] years; duration of PD, 7.1 [5.7] years) completed the study. Most (84.8%) had received levodopa. Dermatology examinations revealed 346 pigmented lesions; dermatopathological findings confirmed 20 in situ melanomas (0.9%) and 4 invasive melanomas (0.2%). In addition, histories revealed 68 prior melanomas (3.2%). Prevalence (5-year limited duration) of invasive malignant melanoma in the US cohort of patients with PD (n=1692) was 2.24-fold higher (95% confidence interval, 1.21-4.17) than expected in age- and sex-matched populations in the US SEER database. Age- or sex-adjusted relative risk of any melanoma for US patients was more than 7 times that expected from confirmed cases in American Academy of Dermatology skin cancer screening programs. Conclusions: Melanoma prevalence appears to be higher in patients with PD than in the general population. Despite difficulties in comparing other databases with this study population, the study supports increased melanoma screening in patients with PD.</div>
</front>
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<country>
<li>Canada</li>
<li>Israël</li>
<li>États-Unis</li>
</country>
<region>
<li>Alberta</li>
<li>Californie</li>
<li>Connecticut</li>
<li>Floride</li>
<li>Massachusetts</li>
<li>Texas</li>
<li>État de New York</li>
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<li>Calgary</li>
<li>Houston</li>
<li>Los Angeles</li>
</settlement>
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<li>Université de Californie du Sud</li>
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<name sortKey="Fernandez, Hubert H" sort="Fernandez, Hubert H" uniqKey="Fernandez H" first="Hubert H." last="Fernandez">Hubert H. Fernandez</name>
<name sortKey="Frei, Karen" sort="Frei, Karen" uniqKey="Frei K" first="Karen" last="Frei">Karen Frei</name>
<name sortKey="Hassan, Mohamed N" sort="Hassan, Mohamed N" uniqKey="Hassan M" first="Mohamed N." last="Hassan">Mohamed N. Hassan</name>
<name sortKey="Isaacson, Stuart H" sort="Isaacson, Stuart H" uniqKey="Isaacson S" first="Stuart H." last="Isaacson">Stuart H. Isaacson</name>
<name sortKey="Lew, Mark F" sort="Lew, Mark F" uniqKey="Lew M" first="Mark F." last="Lew">Mark F. Lew</name>
<name sortKey="Molho, Eric" sort="Molho, Eric" uniqKey="Molho E" first="Eric" last="Molho">Eric Molho</name>
<name sortKey="Ondo, William G" sort="Ondo, William G" uniqKey="Ondo W" first="William G." last="Ondo">William G. Ondo</name>
<name sortKey="Phillips, Tania J" sort="Phillips, Tania J" uniqKey="Phillips T" first="Tania J." last="Phillips">Tania J. Phillips</name>
<name sortKey="Singer, Carlos" sort="Singer, Carlos" uniqKey="Singer C" first="Carlos" last="Singer">Carlos Singer</name>
<name sortKey="Sutton, James P" sort="Sutton, James P" uniqKey="Sutton J" first="James P." last="Sutton">James P. Sutton</name>
<name sortKey="Wolf, John E Jr" sort="Wolf, John E Jr" uniqKey="Wolf J" first="John E. Jr" last="Wolf">John E. Jr Wolf</name>
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<country name="Canada">
<region name="Alberta">
<name sortKey="Arlette, John Philip" sort="Arlette, John Philip" uniqKey="Arlette J" first="John Philip" last="Arlette">John Philip Arlette</name>
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<country name="Israël">
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<name sortKey="Fitzer Attas, Cheryl" sort="Fitzer Attas, Cheryl" uniqKey="Fitzer Attas C" first="Cheryl" last="Fitzer-Attas">Cheryl Fitzer-Attas</name>
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