Evidence map›Paper›PMID 34711205›Full record

ArticleBMC cancer2021

High regional mortality due to malignant melanoma in Eastern Finland may be explained by the increase in aggressive melanoma types.

Ville Suhonen, Jaana Rummukainen, Hanna Siiskonen, Arto Mannermaa, Ilkka T Harvima

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Article in BMC cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ville SuhonenDepartment of Dermatology, University of Eastern Finland and Kuopio University Hospital, P.O.B. 100, 70210, Kuopio, Finland.
Jaana RummukainenDepartment of Pathology, Kuopio University Hospital, 70210, Kuopio, Finland.
Hanna SiiskonenDepartment of Dermatology, University of Eastern Finland and Kuopio University Hospital, P.O.B. 100, 70210, Kuopio, Finland.
Arto MannermaaDepartment of Pathology, University of Eastern Finland, 70210, Kuopio, Finland.
Ilkka T HarvimaDepartment of Dermatology, University of Eastern Finland and Kuopio University Hospital, P.O.B. 100, 70210, Kuopio, Finland. ilkka.harvima@kuh.fi.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA regional skin cancer prevention program in Eastern Finland revealed a relatively high age-standardized mortality due to malignant melanoma during 2013-2017. An explanation for this is needed. PURPOSE: To analyse the 543 melanoma samples in 524 subjects collected during 2000-2013 at Kuopio University Hospital and reposited in the Biobank of Eastern Finland. A focus was directed to factors related to metastasis.

methodsThe samples were analysed anonymously by examining the histopathological report, referral text and the list of diagnoses. A possible state of immunosuppression was evaluated.

resultsThe mean age at the diagnosis of malignant melanoma (MM), lentigo maligna (LM) and melanoma in situ was relatively high, i.e., 66.2, 72.1 and 63.3, respectively. Especially the MM type increased markedly during 2000-2013. In further analyses of a representative cohort of 337 samples, the proportion of nodular melanoma and LM/LMM melanoma was relatively high, 35.6 and 22.0%, respectively, but that from superficial spreading melanoma relatively low (33.8%). Metastasis correlated with immunosuppression, male gender, Clark level, Breslow thickness, ulceration, mitosis count, invasion into vessels and/or perineural area, microsatellites, melanoma subtype, body site, recidivism, and the absence of dysplastic nevus cells.

conclusionThe marked increase in aggressive melanomas with associated metastasis, and the relatively high age at diagnosis, can partially explain the mortality.

Indexed as

AgedAge FactorsFemaleFinlandHumansHutchinson's Melanotic FreckleImmunocompromised HostIncidenceMaleMelanomaMiddle AgedMitotic IndexNeoplasm InvasivenessSex DistributionSkin NeoplasmsImmunosuppressionMelanomaMetastasisMortalityPrognosisRisk factor

Identifiers

PMID34711205
PMCPMC8555296

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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.