Monday, February 25, 2013

Melanoma Prognosis (mortality)

  • Melanoma is a skin cancer
  • Lifetime risk of developing melanoma within the entire caucasian population is estimated to be 1:535 individuals. 
  • Incidence is higher in individuals with fair skin who have been exposed to high levels of UV-B radiation. 
  • The melanoma accounts for only 4% of skin cancers, but for 79% of skin-cancer related deaths.
  • Mortality rates are higher in males than in females.
  • Death rates are higher in individuals with fair skin. 
  • From 2002 to 2006, the median age at death due to metastatic melanoma of the skin was 68 years.
  • Frequency and mortality rates are highest in Australia and New Zealand. 
  • The 5-year survival rate for patients with advanced melanoma is less than 10%. 
  • In melanoma patients, survival is strongly related to tumor thickness; earlier diagnosis and complete excision of lesions may thus lead to a decline in mortality for such a disease. 
  • Depth of ≤ 1 mm (Breslow thickness) without ulceration, is associated with an excellent prognosis (95% 5-year survival rate)
  • Depth of > 4 mm has a poor prognosis (40% 5-year survival rate), as reported by the American Joint Committee on Cancer.
  • Source:Paolo A Ascierto and al. National Cancer Institute, Naples, Italy. BMC Dermatology. 2010