Evidence map›Paper›PMID 21913010›Full record

ArticleAnnals of surgical oncology2012

Clinicopathologic features of incident and subsequent tumors in patients with multiple primary cutaneous melanomas.

Rajmohan Murali, Chris Goumas, Anne Kricker, Lynn From, Klaus J Busam, Colin B Begg, Terence Dwyer, Stephen B Gruber, Peter A Kanetsky, Irene Orlow and 6 more

Erratum issuedAbstract readMulticenter Study
In one paragraph

Article in Annals of surgical oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Disease-Associated Risk Variants inCancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Article
  5. Article
  6. Inherited Genetic Variants Associated with Melanoma BRAF/NRAS Subtypes.The Journal of investigative dermatology · 2018
    Article
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  12. Review
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  17. Observational
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4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

16 authors at 5 institutions in 3 countries.

Rajmohan MuraliTissue Pathology and Diagnostic Oncology, Royal Prince Alfred Hospital, Sydney, Australia. MuraliR@mskcc.org
Chris Goumas
Anne Kricker
Lynn From
Klaus J Busam
Colin B Begg
Terence Dwyer
Stephen B Gruber
Peter A Kanetsky
Irene Orlow
Stefano Rosso
Nancy E Thomas
Marianne Berwick
Richard A Scolyer
Bruce K Armstrong
GEM Study Group
The University of Sydney · AUMemorial Sloan Kettering Cancer Center · USRoyal Children's Hospital · AUUniversity of North Carolina at Chapel Hill · USUniversity of Michigan · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa A. Troester · 2001 to 2026
$36.3M
Melanoma RAS/BRAF Mutation:Heterogeneity-Risk-PrognosisR01CA112243 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI THOMAS, NANCY E. · 2005 to 2014
$5.4M
A MODEL FOR GENETIC SUSCEPTIBILITY: MELANOMAU01CA083180 · NCI · UNIVERSITY OF NEW MEXICO · PI BERWICK, MARIANNE · 1999 to 2003
$5.2M
Solar Exposure and Melanoma SurvivalR01CA112524 · NCI · UNIVERSITY OF NEW MEXICO · PI BERWICK, MARIANNE · 2005 to 2009
$2.5M
Melanoma Prevention: Using the SunK05CA131675 · NCI · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI BERWICK, MARIANNE · 2011 to 2015
$795k
RAS/BRAF Melanoma Mutations: Precursors, Risk, PrognosisR03CA103089 · NCI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI THOMAS, NANCY E · 2003 to 2004
$146k
NCI NIH HHS K05 CA131675NCI NIH HHS R01 CA112243NCI NIH HHS R01 CA112425NCI NIH HHS R01 CA112524NCI NIH HHS R03 CA103089NCI NIH HHS U01 CA083180NCI NIH HHS U01 CA83180NIEHS NIH HHS P30 ES010126
6 · The paper itself

Abstract

background0.6-12.7% of patients with primary cutaneous melanoma will develop additional melanomas. Pathologic features of tumors in patients with multiple primary cutaneous melanomas have not been well described. In this large, international, multicenter, case-control study, we compared the clinicopathologic features of a subsequent melanoma with the preceding (usually the first) melanoma in patients with multiple primary cutaneous melanomas, and with those of melanomas in patients with single primary cutaneous melanomas.

methodsMultiple primary melanoma (cases) and single primary invasive melanoma (controls) patients from the Genes, Environment and Melanoma (GEM) study were included if their tumors were available for pathologic review and confirmed as melanoma. Clinicopathologic characteristics of invasive subsequent and first melanomas in cases and invasive single melanomas in controls were compared.

resultsA total of 473 pairs comprising a subsequent and a first melanoma and 1,989 single melanomas were reviewed. Forward stepwise regression modeling in 395 pairs with complete data showed that, compared with first melanomas, subsequent melanomas were more commonly contiguous with a dysplastic nevus, more prevalent on the head/neck and legs than other sites, and thinner. Compared with single primary melanomas, subsequent melanomas were more likely to be associated with a contiguous dysplastic nevus, more prevalent on the head/neck and legs, and thinner. The same differences were observed when subsequent melanomas were compared with single melanomas. First melanomas were more likely than single melanomas to have associated solar elastosis and no observed mitoses.

conclusionsThinner subsequent than first melanomas suggest earlier diagnosis, perhaps due to closer clinical scrutiny. The association of subsequent melanomas with dysplastic nevi is consistent with the latter being risk factors or risk markers for melanoma.

Indexed as

AgedFemaleHumansMaleMelanomaMiddle AgedNeoplasms, Multiple PrimaryNevusSkin Neoplasms

Identifiers

PMID21913010
PMCPMC3288399
OpenAlexW2155058789

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.