Long-Term Survival Analysis and Clinical Follow-Up in Acral Lentiginous Malignant Melanoma Undergoing Sentinel Lymph Node Biopsy in Korean Patients
Identifieur interne : 002931 ( Main/Exploration ); précédent : 002930; suivant : 002932Long-Term Survival Analysis and Clinical Follow-Up in Acral Lentiginous Malignant Melanoma Undergoing Sentinel Lymph Node Biopsy in Korean Patients
Auteurs : Su-Young Jeon [Corée du Sud] ; Jin-Woo Hong [Corée du Sud] ; Suee Lee [Corée du Sud] ; Sung Yong Oh [Corée du Sud] ; Young-Seoub Hong [Corée du Sud] ; Ki-Ho Kim [Corée du Sud] ; Ki-Hoon Song [Corée du Sud]Source :
- Annals of Dermatology [ 1013-9087 ] ; 2014.
Abstract
In cutaneous malignant melanoma (MM) with clinically uninvolved regional lymph nodes, sentinel lymph node (SLN) status is the most powerful indicator of both overall survival (OS) and disease-free survival (DFS). However, no studies on the long-term survival and clinical follow-up of Korean patients with acral lentiginous MM (ALM) undergoing SLN biopsy (SLNB) have been published.
The purpose of this study was to investigate the clinical prognosis and long-term survival of Korean patients with ALM according to SLN status.
Thirty-four ALM patients undergoing SLNB were included in this study. We evaluated clinical and histopathological follow-up data such as the stage of disease, treatment, recurrence, and metastasis, and analyzed OS and DFS according to SLN status.
The median follow-up time was 60.5 months (range 3~127 months). Positive SLNs were noted in 14 patients (41.2%). Patients with negative SLNs had better OS and DFS than those with positive SLNs (
To our knowledge, this is the first study on the long-term survival and clinical follow-up of patients undergoing SLNB for ALM in Korea. Our findings show that SLN status is an important prognostic factor for predicting OS and DFS.
Url:
DOI: 10.5021/ad.2014.26.2.177
PubMed: 24882971
PubMed Central: 4037669
Affiliations:
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when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">003B06</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003B06</idno><idno type="wicri:Area/Pmc/Curation">003B05</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003B05</idno><idno type="wicri:Area/Pmc/Checkpoint">001A50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001A50</idno><idno type="wicri:Area/Ncbi/Merge">006707</idno><idno type="wicri:Area/Ncbi/Curation">006707</idno><idno type="wicri:Area/Ncbi/Checkpoint">006707</idno><idno type="wicri:doubleKey">1013-9087:2014:Jeon S:long:term:survival</idno><idno type="wicri:Area/Main/Merge">002935</idno><idno type="wicri:Area/Main/Curation">002931</idno><idno type="wicri:Area/Main/Exploration">002931</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Long-Term Survival Analysis and Clinical Follow-Up in Acral Lentiginous Malignant Melanoma Undergoing Sentinel Lymph Node Biopsy in Korean Patients</title><author><name sortKey="Jeon, Su Young" sort="Jeon, Su Young" uniqKey="Jeon S" first="Su-Young" last="Jeon">Su-Young Jeon</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Jin Woo" sort="Hong, Jin Woo" uniqKey="Hong J" first="Jin-Woo" last="Hong">Jin-Woo Hong</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Lee, Suee" sort="Lee, Suee" uniqKey="Lee S" first="Suee" last="Lee">Suee Lee</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Oh, Sung Yong" sort="Oh, Sung Yong" uniqKey="Oh S" first="Sung Yong" last="Oh">Sung Yong Oh</name><affiliation wicri:level="1"><nlm:aff id="A2">Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Internal Medicine, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Hong, Young Seoub" sort="Hong, Young Seoub" uniqKey="Hong Y" first="Young-Seoub" last="Hong">Young-Seoub Hong</name><affiliation wicri:level="1"><nlm:aff id="A3">Department of Pathology, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Pathology, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Kim, Ki Ho" sort="Kim, Ki Ho" uniqKey="Kim K" first="Ki-Ho" last="Kim">Ki-Ho Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author><author><name sortKey="Song, Ki Hoon" sort="Song, Ki Hoon" uniqKey="Song K" first="Ki-Hoon" last="Song">Ki-Hoon Song</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Dermatology, Dong-A University College of Medicine, Busan, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Dermatology, Dong-A University College of Medicine, Busan</wicri:regionArea><wicri:noRegion>Busan</wicri:noRegion></affiliation></author></analytic><series><title level="j">Annals of Dermatology</title><idno type="ISSN">1013-9087</idno><idno type="eISSN">2005-3894</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>In cutaneous malignant melanoma (MM) with clinically uninvolved regional lymph nodes, sentinel lymph node (SLN) status is the most powerful indicator of both overall survival (OS) and disease-free survival (DFS). However, no studies on the long-term survival and clinical follow-up of Korean patients with acral lentiginous MM (ALM) undergoing SLN biopsy (SLNB) have been published.</p></sec><sec><title>Objective</title><p>The purpose of this study was to investigate the clinical prognosis and long-term survival of Korean patients with ALM according to SLN status.</p></sec><sec><title>Methods</title><p>Thirty-four ALM patients undergoing SLNB were included in this study. We evaluated clinical and histopathological follow-up data such as the stage of disease, treatment, recurrence, and metastasis, and analyzed OS and DFS according to SLN status.</p></sec><sec><title>Results</title><p>The median follow-up time was 60.5 months (range 3~127 months). Positive SLNs were noted in 14 patients (41.2%). Patients with negative SLNs had better OS and DFS than those with positive SLNs (<italic>p</italic><0.05). Increased Breslow thickness was associated with short OS and DFS (<italic>p</italic><0.05), and female patients showed better DFS than male patients (<italic>p</italic><0.05).</p></sec><sec><title>Conclusion</title><p>To our knowledge, this is the first study on the long-term survival and clinical follow-up of patients undergoing SLNB for ALM in Korea. Our findings show that SLN status is an important prognostic factor for predicting OS and DFS.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Johnson, Ds" uniqKey="Johnson D">DS Johnson</name></author><author><name sortKey="Yamane, S" uniqKey="Yamane S">S Yamane</name></author><author><name sortKey="Morita, S" uniqKey="Morita S">S Morita</name></author><author><name sortKey="Yonehara, C" uniqKey="Yonehara C">C Yonehara</name></author><author><name sortKey="Wong, Jh" uniqKey="Wong J">JH Wong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Qiu, D" uniqKey="Qiu D">D Qiu</name></author><author><name sortKey="Marugame, T" uniqKey="Marugame T">T Marugame</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Roh, Mr" uniqKey="Roh M">MR Roh</name></author><author><name sortKey="Kim, J" uniqKey="Kim J">J Kim</name></author><author><name sortKey="Chung, Ky" 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Balch</name></author><author><name sortKey="Soong, Sj" uniqKey="Soong S">SJ Soong</name></author><author><name sortKey="Gershenwald, Je" uniqKey="Gershenwald J">JE Gershenwald</name></author><author><name sortKey="Thompson, Jf" uniqKey="Thompson J">JF Thompson</name></author><author><name sortKey="Reintgen, Ds" uniqKey="Reintgen D">DS Reintgen</name></author><author><name sortKey="Cascinelli, N" uniqKey="Cascinelli N">N Cascinelli</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garbe, C" uniqKey="Garbe C">C Garbe</name></author><author><name sortKey="Buttner, P" uniqKey="Buttner P">P Büttner</name></author><author><name sortKey="Bertz, J" uniqKey="Bertz J">J Bertz</name></author><author><name sortKey="Burg, G" uniqKey="Burg G">G Burg</name></author><author><name sortKey="D Hoedt, B" uniqKey="D Hoedt B">B d'Hoedt</name></author><author><name sortKey="Drepper, H" uniqKey="Drepper H">H Drepper</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Jeon, Su Young" sort="Jeon, Su Young" uniqKey="Jeon S" first="Su-Young" last="Jeon">Su-Young Jeon</name></noRegion><name sortKey="Hong, Jin Woo" sort="Hong, Jin Woo" uniqKey="Hong J" first="Jin-Woo" last="Hong">Jin-Woo Hong</name><name sortKey="Hong, Young Seoub" sort="Hong, Young Seoub" uniqKey="Hong Y" first="Young-Seoub" last="Hong">Young-Seoub Hong</name><name sortKey="Kim, Ki Ho" sort="Kim, Ki Ho" uniqKey="Kim K" first="Ki-Ho" last="Kim">Ki-Ho Kim</name><name sortKey="Lee, Suee" sort="Lee, Suee" uniqKey="Lee S" first="Suee" last="Lee">Suee Lee</name><name sortKey="Oh, Sung Yong" sort="Oh, Sung Yong" uniqKey="Oh S" first="Sung Yong" last="Oh">Sung Yong Oh</name><name sortKey="Song, Ki Hoon" sort="Song, Ki Hoon" uniqKey="Song K" first="Ki-Hoon" last="Song">Ki-Hoon 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