Navigation Links
Survival rates appear lower for scalp and neck melanoma than for other sites
Date:4/21/2008

Individuals with melanoma on their scalp or neck appear less likely to survive for five or 10 years than those with melanoma at other sites, according to a report in the April issue of Archives of Dermatology, one of the JAMA/Archives journals.

Melanoma rates continue to increase while rates for most other cancers decline, according to background information in the article. The significance of tumor location in determining cancer prognosis has been debated for decades, the authors note. Understanding the role of anatomic site in melanoma survival is important for public health messages on skin awareness and sun protection, they write. Moreover, because the role of screening in melanoma is considered important for early detection, it is useful to clarify those characteristics with prognostic significance.

Anne M. Lachiewicz, M.P.H., of the University of North Carolina School of Medicine, Chapel Hill, and colleagues analyzed data from U.S. cancer registries for 51,704 individuals first diagnosed with melanoma between 1992 and 2003. Of those, 43 percent had melanomas on their arms or legs, 34 percent on the trunk, 12 percent on the face or ears, 6 percent on the scalp or neck and 4 percent at an unspecified site.

Survival rates were lower among those with scalp and neck melanoma than among those with melanoma at other sites both five years (83.1 percent vs. 92.1 percent) and 10 years (76.2 percent vs. 88.7 percent) after diagnosis. Fourteen percent of those with scalp/neck melanoma and 44 percent of those with melanomas at unknown sites died compared with only 6 percent of those with extremity [arm or leg] melanoma, 8 percent with trunk melanomas and 6 percent with face/ear melanomas, the authors write. After controlling for other factorsincluding age, tumor thickness and sexpatients with melanoma on their neck or scalp died at 1.84 times the rate of those with melanoma on their arms or legs.

The reason for worse survival among patients with scalp/neck melanomas is unclear, the authors write. The blood supply and lymphatic drainage systems serving these areas are rich and complex, which may make it easier for melanoma cells to penetrate and circulate. In addition, such patients are more likely to have cancer that spreads into their brain than those with melanoma on their arms, legs or trunk. Finally, the skin lesions may be hidden by hair and therefore diagnosed later than those at other sites.

The recognition that scalp/neck location is associated with poorer melanoma survival has implications for screening and public health recommendations, the authors conclude. We suggest that all full-skin examinations and future screening studies include a careful inspection of the scalp/neck.


'/>"/>

Contact: Leslie H. Lang
919-843-9687
JAMA and Archives Journals
Source:Eurekalert

Related medicine news :

1. Gestational Age Not Sole Predictor of Preemie Survival
2. Interleukin-12 indicates survival prospects for melanoma patients
3. Combining liver cancer treatments doubles survival rates, UVA researchers find
4. Mayo Clinic identifies treatment target for liver cancer recurrence and survival
5. High-intensity chemotherapy does not improve survival in small cell lung cancer
6. State Report Ranks LIJ as New Yorks Best Hospital for Angioplasty Survival
7. Home Defibrillators Fail to Boost Survival Rates
8. Drug Therapy Boosting Heart-Attack Survival Rates
9. Molecular science could further improve leukemia survival, say St. Jude researchers
10. Frying Tumors Can Boost Lung Cancer Survival
11. Combo Treatment Ups Survival When Cancer Spreads to Abdominal Lining
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/19/2017)... ... 19, 2017 , ... Peter Chandonait, Abt Associates Principal Scientist ... (PMI) Africa Indoor Residual Spraying (AIRS) Project , has been named the Grand ... Action Award, a USAID Catalyst Award, recognizes USAID staff and implementing partners who ...
(Date:9/19/2017)... ... September 19, 2017 , ... The Lymphoma Research ... lymphoma research and serving the lymphoma community through a comprehensive series of education ... part of its national Swirl: A Wine Tasting Event series on Thursday, October ...
(Date:9/19/2017)... (PRWEB) , ... September 19, 2017 , ... ... the addition of Canyon Ranch to its recently formed Corporate Roundtable, ... a sustainable healthcare system and a sustainable world. , Canyon Ranch is a ...
(Date:9/19/2017)... New York, NY (PRWEB) , ... September 19, ... ... Podiatry (ABMSP) has issued a rallying cry to Americans to watch for the ... late summer. From young athletes to senior citizens, everyone is at risk for ...
(Date:9/19/2017)... LEE, N.J. (PRWEB) , ... September 19, 2017 , ... ... the Subperiosteal Implant: Volume II ” (published by Xlibris on July of 2014). This ... and reviews conventional and new methodological approaches that benefit people who have lost all ...
Breaking Medicine News(10 mins):
(Date:9/18/2017)... , Pa. and KALAMAZOO, Mich. , ... Allentown, Penn. , and OptiMed Specialty Pharmacy of ... business partnership to offer a strategic hub service that ... Healthcare,s highly sought-after personal spirometer, Spiro PD 2.0, and ... A spirometer is a medical device used to ...
(Date:9/12/2017)... , Sept. 12, 2017  ValGenesis Inc., the ... (VLMS), is pleased to announce the appointment of ... of its Board of Directors and Chairman of ... enables life science companies to manage their entire ... of paper in this process. Furthermore, ValGenesis VLMS ...
(Date:9/7/2017)... , Sept. 7, 2017  For nearly two decades, New Life Agency ... Assisted Reproduction Insurance industry. Today, New Life Agency announces a powerful three-way ... ... ... http://pharmacarecard.com/ (PRNewsfoto/PharmaCareCard) ...
Breaking Medicine Technology: