Invasive Cutaneous Melanoma in Elderly Patients

Brian W. Loggie, Salve G. Ronan, Judy Bean, Tapas K Das Gupta

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27 Scopus citations

Abstract

Clinical and pathologic variables were compared between “older” (≥70 years) and “younger” (30 to 39 years) patients with primary invasive cutaneous melanoma. Older patients had more nodular melanomas and acral lentiginous melanomas (58%); superficial spreading melanomas predominated in younger patients (74%). Mean tumor thickness was greater in the older patients (3.95 vs 2.02 mm). Invasive levels 2 and 3 occurred more often in younger patients (41.1% vs 13%); level 5 occurred more often in older patients (30.4% vs 5.3%). Microscopic ulceration occurred more often in older (46.4%) than in younger patients (19.4%). Older patients classified as clinical stage I at presentation or with primary lesions 1.50- to 3.00-mm thick had poorer survival. Younger women survived longer than younger men; this was not true of older patients. The elderly patients with cutaneous melanoma were more likely to have poor prognostic features and thus more likely to die from melanoma than the younger patients.

Original languageEnglish
Pages (from-to)1188-1193
Number of pages6
JournalArchives of Dermatology
Volume127
Issue number8
DOIs
Publication statusPublished - 1991
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Dermatology

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