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Analysis of histopathological factors associated with prolonged survival of 10 years or more for patients with thick melanomas (> 5 mm)

Identifieur interne : 00CA16 ( Main/Curation ); précédent : 00CA15; suivant : 00CA17

Analysis of histopathological factors associated with prolonged survival of 10 years or more for patients with thick melanomas (> 5 mm)

Auteurs : A. Spatz ; H M Shaw [Australie] ; K A Crotty [Australie] ; J F Thompson [Australie] ; S W Mccarthy

Source :

RBID : ISTEX:1F88C826B07B31F4FE12148DBEB53A6B410021F2

Descripteurs français

English descriptors

Abstract

Although tumour thickness is the best predictor of melanoma prognosis in patients with localized cutaneous melanoma, prolonged survival occasionally occurs in patients with thick melanomas (> 5 mm). This study examined histological features which were associated with long‐term survival.

Url:
DOI: 10.1046/j.1365-2559.1998.00523.x

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ISTEX:1F88C826B07B31F4FE12148DBEB53A6B410021F2

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A. Spatz
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S W Mccarthy
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Le document en format XML

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<keywords scheme="Pascal" xml:lang="fr">
<term>Mélanome malin</term>
<term>Peau</term>
<term>Epaisseur</term>
<term>Survie</term>
<term>Long terme</term>
<term>Facteur prédictif</term>
<term>Anatomopathologie</term>
<term>Morphologie</term>
<term>Cellule fusiforme</term>
<term>Mitose</term>
<term>Etude statistique</term>
<term>Homme</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Homme</term>
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<div type="abstract" xml:lang="en">Aims: Although tumour thickness is the best predictor of melanoma prognosis in patients with localized cutaneous melanoma, prolonged survival occasionally occurs in patients with thick melanomas (> 5 mm). This study examined histological features which were associated with long-term survival. Methods and results: Forty-two patients with thick. vertical growth phase melanomas surviving 10 years or more after diagnosis were matched by clinical stage of disease, sex, age and anatomical site of the primary lesion with 42 patients with similar characteristics who died from their disease within 3 years of diagnosis. Fourteen histological factors were assessed in both groups. Tumours with spindle cell and Spitz-like cell populations and those with low mitotic activity were significantly more frequently observed in long-term survivors. There was also a significant excess of melanomas exhibiting desmoplasia and those lacking vascular invasion in the long-term survivors. Conclusions: These findings suggest that it may be useful to modify the current cutaneous melanoma classification on the basis of unusual cytological characteristics (as discussed at the recent 4th World Conference on Melanoma).</div>
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<title xml:lang="en">Analysis of histopathological factors associated with prolonged survival of 10 years or more for patients with thick melanomas (> 5 mm)</title>
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<name sortKey="Spatz, A" sort="Spatz, A" uniqKey="Spatz A" first="A" last="Spatz">A. Spatz</name>
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<author>
<name sortKey="Shaw, H M" sort="Shaw, H M" uniqKey="Shaw H" first="H M" last="Shaw">H M Shaw</name>
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<name sortKey="Crotty, K A" sort="Crotty, K A" uniqKey="Crotty K" first="K A" last="Crotty">K A Crotty</name>
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<name sortKey="Thompson, J F" sort="Thompson, J F" uniqKey="Thompson J" first="J F" last="Thompson">J F Thompson</name>
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<name sortKey="Mccarthy, S W" sort="Mccarthy, S W" uniqKey="Mccarthy S" first="S W" last="Mccarthy">S W Mccarthy</name>
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<orgName type="university">Université de Sydney</orgName>
<country>Australie</country>
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<region type="état">Nouvelle-Galles du Sud</region>
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<series>
<title level="j" type="main">Histopathology</title>
<title level="j" type="alt">HISTOPATHOLOGY</title>
<idno type="ISSN">0309-0167</idno>
<idno type="eISSN">1365-2559</idno>
<imprint>
<biblScope unit="vol">33</biblScope>
<biblScope unit="issue">5</biblScope>
<biblScope unit="page" from="406">406</biblScope>
<biblScope unit="page" to="413">413</biblScope>
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<publisher>Blackwell Science Ltd</publisher>
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<term>Blackwell science</term>
<term>Cell populations</term>
<term>Cell type</term>
<term>Clinical stage</term>
<term>Cutaneous</term>
<term>Cutaneous melanoma</term>
<term>Desmoplastic melanoma</term>
<term>Glabrous skin</term>
<term>Histogenetic</term>
<term>Histogenetic type</term>
<term>Histological</term>
<term>Histopathology</term>
<term>Independent prognostic</term>
<term>Lesion</term>
<term>Lymph node dissection</term>
<term>Malignant</term>
<term>Malignant melanoma</term>
<term>Melanoma</term>
<term>Microscopic satellites</term>
<term>Mitotic</term>
<term>Mitotic activity</term>
<term>Multivariate analysis</term>
<term>Predominant</term>
<term>Predominant cell type</term>
<term>Present study</term>
<term>Primary cutaneous melanoma</term>
<term>Primary lesion</term>
<term>Prognostic</term>
<term>Prognostic factors</term>
<term>Prognostic model</term>
<term>Royal prince alfred hospital</term>
<term>Short survival</term>
<term>Short survivors</term>
<term>Spindle cell</term>
<term>Surg</term>
<term>Survivor</term>
<term>Sydney melanoma unit</term>
<term>Thick melanomas</term>
<term>Tumour</term>
<term>Tumour thickness</term>
<term>Ulceration</term>
<term>Vascular invasion</term>
<term>Vertical growth phase</term>
</keywords>
<keywords scheme="Teeft" xml:lang="en">
<term>Blackwell science</term>
<term>Cell populations</term>
<term>Cell type</term>
<term>Clinical stage</term>
<term>Cutaneous</term>
<term>Cutaneous melanoma</term>
<term>Desmoplastic melanoma</term>
<term>Glabrous skin</term>
<term>Histogenetic</term>
<term>Histogenetic type</term>
<term>Histological</term>
<term>Histopathology</term>
<term>Independent prognostic</term>
<term>Lesion</term>
<term>Lymph node dissection</term>
<term>Malignant</term>
<term>Malignant melanoma</term>
<term>Melanoma</term>
<term>Microscopic satellites</term>
<term>Mitotic</term>
<term>Mitotic activity</term>
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<term>Predominant cell type</term>
<term>Present study</term>
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<term>Survivor</term>
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<front>
<div type="abstract">Although tumour thickness is the best predictor of melanoma prognosis in patients with localized cutaneous melanoma, prolonged survival occasionally occurs in patients with thick melanomas (> 5 mm). This study examined histological features which were associated with long‐term survival.</div>
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