Invasive cutaneous malignant melanoma in Sweden, 1990–1999

Abstract

BACKGROUND The objective of the current study was to compile prospective, population‐based data on cutaneous invasive melanomas in Sweden during the period from 1990 to 1999, to describe and analyze survival data and prognostic factors, and to make comparisons with previously published Swedish and international data. METHODS Twelve thousand five hundred thirty‐three patients, which included 97% of all registered melanomas in Sweden, were included and described. Among these, 9515 patients with clinical Stage I and II melanoma were included in an analysis of survival and in a univariate analysis, and 6191 patients were included in a multivariate analysis of prognostic factors. RESULTS There was no significant change in melanoma incidence during 1990–1999. Favorable prognostic factors were found, especially in younger and female patients, resulting in a relative 5‐year survival rate of 91.5%. In the multivariate analysis, significant factors that had a negative effect on survival were Clark level of invasion, Breslow thickness, ulceration, older patient age, trunk location, greatest tumor dimension, nodular histogenetic type, and male gender. CONCLUSIONS During the period from 1990 to 1999, the 5‐year survival of patients with malignant melanoma in Sweden was better compared with the previously reported rates in published, population‐based studies from Sweden, probably as a result of better secondary prevention due to better knowledge and awareness by both patients and the medical profession. The more favorable prognostic factors and the change in melanoma location found in younger patients, compared with earlier reports, may reflect changes in clothing as well as tanning habits; however, a decrease also was found in Clark Level II and thin melanomas for the same patient group. The authors concluded that further improvements can be achieved with better access to health care and with the use of early melanoma detection campaigns. Cancer 2004. © 2004 American Cancer Society.

Survival for Patients With Single and Multiple Primary Melanomas

“…23,25 We found limited evidence, however, for poorer outcomes in men in our data, mainly that survival was somewhat poorer for thicker melanomas in men (see Figure 2), and they had more melanomas with ulceration. The relatively small number at age 70+ of women with MPM (24% of MPM in women) is not unexpected, given that melanoma incidence at older ages is lower in women than men (http://seer.cancer.gov/csr/1975_2007/).…”

Epidemiological aspects of melanoma at a university hospital dermatology center over a period of 20 years

“…3,15,18,25,47 In relation to the histological type, some investigations have observed worse survival rates with NM 15,18 while others have recorded that ALM was associated with a poorer prognosis. 47 …”

Incidence and mortality trends of melanoma in Croatia, 1988-2008

“…There has been only a modest progress in the management of advanced disease, and early diagnosis remains crucial in improving the survival (31,32). There are prevention and early detection strategies available, which have been developed and used in countries with higher incidence rates, including ABCDE guidelines and Glasgow 7-point checklist (33,34).…”