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- W2169187445 abstract "The Spanish National Cutaneous Melanoma Registry (Registro Nacional de Melanoma Cutáneo [RNMC]) was created in 1997 to record the characteristics of melanoma at diagnosis. In this article, we describe the characteristics of these tumors at diagnosis. This was a cross-sectional observational study of prevalent and incident cases of melanoma for which initial biopsy results were available in the population-based RNMC. The RNMC contains information on 14,039 patients. We analyzed the characteristics of 13,628 melanomas diagnosed between 1997 and 2011. In total, 56.5% of the patients studied were women and 43.5% were men. The mean age of the group was 57 years (95% CI, 56.4-57 years) while median age was 58 years. The most common tumor site was the trunk (37.1%), followed by the lower limbs (27.3%). The most frequent clinical-pathologic subtype was superficial spreading melanoma (n = 7481, 62.6%), followed by nodular melanoma (n = 2014, 16.8%). Localized disease was observed in 86.2% of cases (n = 10,382), regional metastasis in 9.9% (n = 1188), and distant metastasis in 3.9% (n = 479). Independently of age at diagnosis, men had thicker tumors, more ulceration, higher lactate dehydrogenase levels, and a higher rate of metastasis than women (P < .001). Based on our findings, melanoma prevention campaigns should primarily target men over 50 years old because they tend to develop thicker tumors and therefore have a worse prognosis. El registro nacional de melanoma cutáneo (RNMC) se creó en el año 1997 con el objetivo de conocer las características del melanoma en el momento del diagnóstico. Se muestran las características de los tumores en el momento de su diagnóstico inicial. Registro observacional transversal, con base poblacional. Se incluyeron casos incidentes y prevalentes de melanoma con resultados de la primera biopsia disponibles. El RNMC contiene información de 14.039 pacientes. Se analizaron las características del melanoma en los pacientes diagnosticados en el periodo 1997-2011, sumando un total de 13.628 melanomas. El 56,5% de los pacientes eran mujeres y el 43,5% hombres. La edad media fue de 57 años (IC 95%: 56,4 a 57), con mediana de 58 años. La localización más frecuente fue en el tronco (37,1%), seguido de la extremidad inferior (27,3%). El tipo clínico-patológico más observado fue el melanoma de extensión superficial en un 62,6% (n = 7.481), seguido del melanoma nodular en un 16,8% de los casos (n = 2.014). El 86,2% (n = 10.382) tenían enfermedad localizada, el 9,9% metástasis regionales (n = 1.188) y el 3,9% (n = 479) a distancia. Se observó en los hombres, independientemente de la edad de diagnóstico, un mayor espesor del tumor y una mayor proporción de tumores ulcerados, con niveles de lactatodeshidrogenasa elevados y con enfermedad metastásica (p < 0,0001). Con los resultados observados las campañas preventivas deberían orientarse al colectivo masculino mayor de 50 años, en el que se observan tumores de mayor espesor, y por lo tanto de peor pronóstico." @default.
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- W2169187445 date "2013-11-01" @default.
- W2169187445 modified "2023-10-06" @default.
- W2169187445 title "Melanoma Characteristics at Diagnosis From The Spanish National Cutaneous Melanoma Registry: 15 Years of Experience" @default.
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- W2169187445 doi "https://doi.org/10.1016/j.adengl.2013.02.012" @default.
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