Clinical, histopathological features and related factors affecting survival results after surgery of cutaneous melanoma

Vu Thanh Phuong, Nguyen Van Chu, Nguyen Dai Binh

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Abstract

 This is a retrospective and prospective study on 130 cutaneous melanoma patients in stage 2,3 who were operated at K hospital from 2013 to 2019. Results:male/female 1.03, common age over 40 years old, lower limbs 46.9%, superficial spreading melanoma 52,3%, thickness > 2 mm 97.7%, Clark IV,V 80.8%, vertical growth phase 76.2 %, satellite 33.8%, ulceration 49.2%, lymphovascular/angiolymphatic invasion 20.8%, mitotic rate > 6/mm² 40.8%, sparse tumor infiltrating lymphocytes 46.2%, positive regional lymph nodes 48.5%, stage 2, 3 is 43.1%, 56.9%, respectively. Overall 5-year survival rate 47.1%. Adverse prognostic factors affect overall 5-years survival: nodular, acral lentiginous, increasing tumor thickness, high Clark level, vertical growth phase, satellite, ulceration, lymphovascualar/angiolymphatic invasion , high mitotic rate, decreasing tumor infiltrating lymphocytes, increasing number of regional lymph nodes metastases and upstage.

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References

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