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Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience

Introduction. Cutaneous foot melanoma is rare, challenging to manage, and not adequately examined in the literature. This study evaluated the prognostic variables and surgical management of foot melanoma. Materials and Methods. Foot melanoma cases managed at an academic center from 1985 to 2010 were...

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Autores principales: Rashid, Omar M., Schaum, Julia C., Wolfe, Luke G., Brinster, Nooshin K., Neifeld, James P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: International Scholarly Research Network 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262538/
https://www.ncbi.nlm.nih.gov/pubmed/22363851
http://dx.doi.org/10.5402/2011/384729
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author Rashid, Omar M.
Schaum, Julia C.
Wolfe, Luke G.
Brinster, Nooshin K.
Neifeld, James P.
author_facet Rashid, Omar M.
Schaum, Julia C.
Wolfe, Luke G.
Brinster, Nooshin K.
Neifeld, James P.
author_sort Rashid, Omar M.
collection PubMed
description Introduction. Cutaneous foot melanoma is rare, challenging to manage, and not adequately examined in the literature. This study evaluated the prognostic variables and surgical management of foot melanoma. Materials and Methods. Foot melanoma cases managed at an academic center from 1985 to 2010 were retrospectively reviewed. Results. 46 patients were identified with a broad range of demographic characteristics. Overall recurrence was 32.6%: 19% acral lentiginous, 57% nodular, 66% superficial spreading, 30% melanoma unspecified, 50% severely atypical; 53% ulcerated, 23% nonulcerated; 29% on the dorsum of the foot, 17% heel, 60% ankle, 22% toe, 50% plantar; 0% <1 mm thick, 47% 1–4 mm, 33% >4 mm. 13 had positive nodes, 4 (31%) of whom recurred. Prognostic factors and recurrence did not correlate, and survival was 96% with a median followup of 91 months. Conclusions. Aggressive management of foot melanoma may result in excellent long-term survival even following disease recurrence.
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spelling pubmed-32625382012-02-23 Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience Rashid, Omar M. Schaum, Julia C. Wolfe, Luke G. Brinster, Nooshin K. Neifeld, James P. ISRN Dermatol Clinical Study Introduction. Cutaneous foot melanoma is rare, challenging to manage, and not adequately examined in the literature. This study evaluated the prognostic variables and surgical management of foot melanoma. Materials and Methods. Foot melanoma cases managed at an academic center from 1985 to 2010 were retrospectively reviewed. Results. 46 patients were identified with a broad range of demographic characteristics. Overall recurrence was 32.6%: 19% acral lentiginous, 57% nodular, 66% superficial spreading, 30% melanoma unspecified, 50% severely atypical; 53% ulcerated, 23% nonulcerated; 29% on the dorsum of the foot, 17% heel, 60% ankle, 22% toe, 50% plantar; 0% <1 mm thick, 47% 1–4 mm, 33% >4 mm. 13 had positive nodes, 4 (31%) of whom recurred. Prognostic factors and recurrence did not correlate, and survival was 96% with a median followup of 91 months. Conclusions. Aggressive management of foot melanoma may result in excellent long-term survival even following disease recurrence. International Scholarly Research Network 2011 2011-07-26 /pmc/articles/PMC3262538/ /pubmed/22363851 http://dx.doi.org/10.5402/2011/384729 Text en Copyright © 2011 Omar M. Rashid et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Rashid, Omar M.
Schaum, Julia C.
Wolfe, Luke G.
Brinster, Nooshin K.
Neifeld, James P.
Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience
title Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience
title_full Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience
title_fullStr Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience
title_full_unstemmed Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience
title_short Prognostic Variables and Surgical Management of Foot Melanoma: Review of a 25-Year Institutional Experience
title_sort prognostic variables and surgical management of foot melanoma: review of a 25-year institutional experience
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3262538/
https://www.ncbi.nlm.nih.gov/pubmed/22363851
http://dx.doi.org/10.5402/2011/384729
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