Epidemiological, clinical and histological aspects of cutaneous melanoma of the head and neck region
Thiago Demétrio Nogueira Costa e Silva, Emidiana Raquel Rodrigues de Souza Oliveira, Sheila Maria da Conceição Costa, Cláudia Isabel Silva Carlos, Karla Regina Figueirôa Batista
Abstract
Introduction: Melanoma accounts for only 4% skin malignancies, but its incidence has been increasing in recent decades. In addition, it has the worst prognosis and high mortality rate. Objective: To trace the clinical, epidemiological and histological profile of patients with melanoma. Materials and Methods: A retrospective and observational study was carried out through the charts of patients with the disease attended at the Center of Oncology and Hematology of Mossoró from 2006 to 2015. Results: There was a predominance of women (56.7%), with a mean age of 60.7 years, Caucasian people (61.0%), incomplete elementary school (62.0%), farmers (38.8%) and no history of cancer in the family (62.5%). The main complaint was the presence of elementary lesion (79.3%), which in most cases was in the trunk (38.8%) at an advanced stage (52.6%). The predominant lesion was extensive superficial melanoma (47.8%), with Breslow below 1 mm (28.2%) or above 4 mm (28.2%), Clark IV (48.7%), with ulceration (65%), but without angiolymphatic (83.3%) or perineural (95.8%) invasion. The treatment, in most cases, was surgical (71.7%). Regarding the survival, the average time of death of patients was 668.8 days. The mortality rate was 31.7%. Conclusion: The pattern found was similar to other studies, except for the variables of age and Clark level.
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References
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