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Residual melanoma after an excisional biopsy is an independent prognostic factor for local recurrence and overall survivalHočevar, Marko, 1964- ...The aim of this study was to evaluate the effect of a residual melanoma after an excisional biopsy on prognosis of patients with cutaneous melanoma. PATIENTS AND METHODS: Between 2000 and 2007 ... sentinel lymph node biopsy with wide reexcision of a primary melanoma site was successfully performed in 692 patients (315 male and 377 female; mean age 55.7 years) at the Institute of Oncology Ljubljana, Slovenia. Clinicopathological data of all patients were extracted from a prospective institutional melanoma database and the frequency of local recurrences and survival were compared between patients with residual melanoma and those without it. For a statistical analysis univariate and multivariate analyses were used. RESULTS: Only 25 (3.6%) patients had a residual melanoma. There was no difference in mean tumor thickness (3.9 and 2.8 mm) and ulceration (40% and 34%) of the primary melanoma between patients with and without residual melanoma. However, a number of local recurrences (16% versus 2.7%) and a number of metastases in sentinel lymph nodes (44% versus 22%) were significantly higher and a 5-year survival was significantly lower (64% versus 87.5%) in patients with residual melanoma. Breslow thickness, ulceration, positive SLNB and residual melanoma were independent prognostic factors for overall survival. CONCLUSIONS: Residual melanoma is very rare after an excisional biopsy of the primary melanoma. However, when present it indicates a higher probability of local recurrence and a worse overall survival.Source: European journal of surgical oncology. - ISSN 0748-7983 (Vol. 40, no. 10, Oct. 2014, str. 1271-1275)Type of material - article, component partPublish date - 2014Language - englishCOBISS.SI-ID - 1937787
Author
Hočevar, Marko, 1964- |
Dragonja, Zala |
Pilko, Gašper |
Gazić, Barbara |
Žgajnar, Janez, 1963-
Topics
melanom |
biopsija |
ponovitve |
preživetje
source: European journal of surgical oncology. - ISSN 0748-7983 (Vol. 40, no. 10, Oct. 2014, str. 1271-1275)
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Database name | Field | Year |
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Links to authors' personal bibliographies | Links to information on researchers in the SICRIS system |
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Hočevar, Marko, 1964- | 12023 |
Dragonja, Zala | |
Pilko, Gašper | 26531 |
Gazić, Barbara | 20050 |
Žgajnar, Janez, 1963- | 12767 |
Source: Personal bibliographies
and: SICRIS
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