Clinical and pathological characteristics of melanoma: a population‐based study in a French regional population
Identifieur interne : 001E52 ( Main/Exploration ); précédent : 001E51; suivant : 001E53Clinical and pathological characteristics of melanoma: a population‐based study in a French regional population
Auteurs : C. Barbe [France] ; E. Hibon [France] ; F. Vitry [France] ; A. Le Clainche [France] ; F. Grange [France]Source :
- Journal of the European Academy of Dermatology and Venereology [ 0926-9959 ] ; 2012-02.
English descriptors
- Teeft :
- Acad dermatol venereol, Acral lentiginous, Ajcc, Ajcc stage, Arch dermatol, Authors journal, Breslow, Breslow thickness, Clark level, Cutaneous, Cutaneous melanoma, Dermatol, Dermatologist, Dermatology, Early diagnosis, Epidemiology, European academy, Gender, Higher breslow thickness, Higher proportion, Histological, Histological type, Inhabitant, Invasive, Invasive melanomas, Jeadv, Lentigo, Lentigo maligna melanomas, Lower limb, Maligna, Median, Melanoma, Melanoma characteristics, Melanoma incidence, Nodular, Older patients, Omecha registry, Pathological characteristics, Standard deviation, Study area, Thick melanomas, Tumour, Tumour characteristics, Ulceration, Ulceration status, Upper limb, Venereology, Venereology barbe.
Abstract
Background Although incidence and mortality data are numerous, population‐based studies including clinical and pathological characteristics of melanoma are rare.
Objectives To describe the characteristics of melanoma in a rural French region during 2004–2008 and to identify differences according to age, gender and geographical areas.
Methods Pathology reports of cutaneous melanomas diagnosed in residents from the Champagne‐Ardenne region during 2004–2008 were anonymously collected from pathology laboratories. Demographic, clinical and pathological data were extracted and analysed by experts, including dermatologists, pathologists and epidemiologists.
Results One hundred and seventy‐seven in situ melanomas were diagnosed in 177 patients (female/male ratio : 1.72). Patients with head and neck in situ melanomas were older than patients with melanomas in other locations (72 vs. 54 years; P < 0.0001). Six hundred and sixty‐one invasive melanomas were diagnosed (female/male ratio : 1.26), corresponding to an annual incidence rate of 6.3/100 000. Male patients had thicker and more frequently ulcerated tumours. The location widely varied between genders, involving the trunk in 47% of male patients and the lower limb in 48% of female patients. Older patients had thicker and more advanced melanomas, with a more frequent head and neck location. Nodular, acral lentiginous and unclassified melanomas were much thicker than superficial spreading and lentigo maligna melanomas (4.37 vs. 1.33 mm, P < 0.0001). Primary melanomas of advanced stages were more frequent in one of the four districts of the study area. Overall, the mean Breslow thickness (2.02 mm) was much higher than that previously observed in other regions of north‐eastern France (1.59 mm).
Conclusions Information and screening campaigns should particularly target rural areas, males, older people and focus on nodular, acrolentiginous and unclassified subtypes.
Url:
DOI: 10.1111/j.1468-3083.2011.04021.x
Affiliations:
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Grange</name><affiliation wicri:level="3"><country xml:lang="fr">France</country><wicri:regionArea>Service de Dermatologie, Hôpital Robert Debré, Reims</wicri:regionArea><placeName><region type="region">Grand Est</region><region type="old region">Champagne-Ardenne</region><settlement type="city">Reims</settlement></placeName></affiliation><affiliation wicri:level="1"><country wicri:rule="url">France</country></affiliation></author></analytic><monogr></monogr><series><title level="j" type="main">Journal of the European Academy of Dermatology and Venereology</title><title level="j" type="alt">JOURNAL OF EUROPEAN ACADEMY DERMATOLOGY VENEREOLOGY</title><idno type="ISSN">0926-9959</idno><idno type="eISSN">1468-3083</idno><imprint><biblScope unit="vol">26</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="159">159</biblScope><biblScope unit="page" to="164">164</biblScope><biblScope unit="page-count">6</biblScope><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="2012-02">2012-02</date></imprint><idno type="ISSN">0926-9959</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0926-9959</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Acad dermatol venereol</term><term>Acral lentiginous</term><term>Ajcc</term><term>Ajcc stage</term><term>Arch dermatol</term><term>Authors journal</term><term>Breslow</term><term>Breslow thickness</term><term>Clark level</term><term>Cutaneous</term><term>Cutaneous melanoma</term><term>Dermatol</term><term>Dermatologist</term><term>Dermatology</term><term>Early diagnosis</term><term>Epidemiology</term><term>European academy</term><term>Gender</term><term>Higher breslow thickness</term><term>Higher proportion</term><term>Histological</term><term>Histological type</term><term>Inhabitant</term><term>Invasive</term><term>Invasive melanomas</term><term>Jeadv</term><term>Lentigo</term><term>Lentigo maligna melanomas</term><term>Lower limb</term><term>Maligna</term><term>Median</term><term>Melanoma</term><term>Melanoma characteristics</term><term>Melanoma incidence</term><term>Nodular</term><term>Older patients</term><term>Omecha registry</term><term>Pathological characteristics</term><term>Standard deviation</term><term>Study area</term><term>Thick melanomas</term><term>Tumour</term><term>Tumour characteristics</term><term>Ulceration</term><term>Ulceration status</term><term>Upper limb</term><term>Venereology</term><term>Venereology barbe</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract">Background Although incidence and mortality data are numerous, population‐based studies including clinical and pathological characteristics of melanoma are rare.</div><div type="abstract">Objectives To describe the characteristics of melanoma in a rural French region during 2004–2008 and to identify differences according to age, gender and geographical areas.</div><div type="abstract">Methods Pathology reports of cutaneous melanomas diagnosed in residents from the Champagne‐Ardenne region during 2004–2008 were anonymously collected from pathology laboratories. Demographic, clinical and pathological data were extracted and analysed by experts, including dermatologists, pathologists and epidemiologists.</div><div type="abstract">Results One hundred and seventy‐seven in situ melanomas were diagnosed in 177 patients (female/male ratio : 1.72). Patients with head and neck in situ melanomas were older than patients with melanomas in other locations (72 vs. 54 years; P < 0.0001). Six hundred and sixty‐one invasive melanomas were diagnosed (female/male ratio : 1.26), corresponding to an annual incidence rate of 6.3/100 000. Male patients had thicker and more frequently ulcerated tumours. The location widely varied between genders, involving the trunk in 47% of male patients and the lower limb in 48% of female patients. Older patients had thicker and more advanced melanomas, with a more frequent head and neck location. Nodular, acral lentiginous and unclassified melanomas were much thicker than superficial spreading and lentigo maligna melanomas (4.37 vs. 1.33 mm, P < 0.0001). Primary melanomas of advanced stages were more frequent in one of the four districts of the study area. Overall, the mean Breslow thickness (2.02 mm) was much higher than that previously observed in other regions of north‐eastern France (1.59 mm).</div><div type="abstract">Conclusions Information and screening campaigns should particularly target rural areas, males, older people and focus on nodular, acrolentiginous and unclassified subtypes.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Champagne-Ardenne</li><li>Grand Est</li></region><settlement><li>Reims</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Barbe, C" sort="Barbe, C" uniqKey="Barbe C" first="C." last="Barbe">C. Barbe</name></region><name sortKey="Grange, F" sort="Grange, F" uniqKey="Grange F" first="F." last="Grange">F. Grange</name><name sortKey="Grange, F" sort="Grange, F" uniqKey="Grange F" first="F." last="Grange">F. Grange</name><name sortKey="Hibon, E" sort="Hibon, E" uniqKey="Hibon E" first="E." last="Hibon">E. Hibon</name><name sortKey="Le Clainche, A" sort="Le Clainche, A" uniqKey="Le Clainche A" first="A." last="Le Clainche">A. Le Clainche</name><name sortKey="Vitry, F" sort="Vitry, F" uniqKey="Vitry F" first="F." last="Vitry">F. Vitry</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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