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International journal of dermatology · 2015

Melanoma of the lower extremities: foot site is an independent risk factor for clinical outcome.

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Sanlorenzo Martina, Osella-Abate Simona, Ribero Simone, Marenco Federica, Nardò Tiziana, Fierro Maria Teresa, Novelli Mauro, Cervetti Ornella, Bernengo Maria Grazia, Quaglino Pietro

Аннотация

BACKGROUND: Despite the better prognosis of melanomas localized on lower extremities, some studies have suggested that melanomas on the foot are related to a poorer survival and should be considered separately.

OBJECTIVE: To review our case series of cutaneous melanomas on the lower extremities and to analyze the clinicopathological association, time course, types of progression, and survival differences.

METHODS: We included 1671 patients (stage 0-II) with a cutaneous melanoma on the lower extremities (subungual melanomas were excluded). Of these, 327 were localized on the foot. Multivariate analyses were performed to evaluate disease-specific survival and disease-free interval.

RESULTS: Distribution of known prognostic factors and patterns of progression of foot and leg melanoma differ across genders. The foot site was confirmed as a negative independent prognostic factor on disease-specific survival and disease-free interval.

CONCLUSION: Foot melanoma could represent a particular subgroup, which could require specific management in the future.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты