Evidence map›Paper›PMID 42066632›Full record

ReviewAnais brasileiros de dermatologia

Thin and in situ melanoma: an update for the dermatologist.

João Renato Vianna Gontijo, Flávia Vasques Bittencourt, Jacob H Nelson, Lucas Campos Garcia, Sancy A Leachman

Abstract readReview
In one paragraph

Review in Anais brasileiros de dermatologia. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

João Renato Vianna GontijoDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Service of Dermatology, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brazil. Electronic address: joaorenatogontijo@gmail.com.
Flávia Vasques BittencourtDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jacob H NelsonDepartment of Dermatology, School of Medicine, Oregon Health and Science University, Portland, OR, United States of America.
Lucas Campos GarciaDepartment of Internal Medicine, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil; Service of Dermatology, Rede Mater Dei de Saúde, Belo Horizonte, MG, Brazil.
Sancy A LeachmanDepartment of Dermatology, School of Medicine, Oregon Health and Science University, Portland, OR, United States of America; Department of Dermatology, School of Medicine, University of Utah, Salt Lake City, UT, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThin melanoma (TM, ≤1.0 mm Breslow thickness) and Melanoma In Situ (MIS) constitute the majority of melanoma diagnoses worldwide and are responsible for melanoma-related deaths in these early-stage tumors. Despite their favorable prognosis, MIS and TM represent an opportunity for improving patient outcomes through early detection, accurate risk stratification, and long-term surveillance for metastasis and new skin neoplasms.

objectiveProvide an update of current evidence regarding epidemiology, risk factors, prognostic indicators, genetic background, and clinical management of MIS and TM.

methodsA comprehensive review of the literature and international guidelines was conducted, integrating epidemiologic data, clinical prognostic parameters, and molecular insights relevant to MIS and TM.

resultsMIS and TM account for over 80% of all melanomas, with increasing incidence and relatively stable mortality rates. Prognosis is primarily determined by Breslow depth and ulceration, while factors such as mitotic rate, anatomic site, and age further refine risk assessment. Genetic alterations contribute to tumorigenesis but are not yet integrated into routine management. Long-term dermatological surveillance is needed, as new neoplasms, recurrence, and metastasis can develop during follow-up.

conclusionsMIS and TM are increasingly diagnosed, and dermatologists need to be a part of early detection, multidisciplinary management, and lifelong surveillance, which remain the cornerstone of reducing melanoma-related mortality. STUDY LIMITATIONS: The substantial heterogeneity among the included studies limits direct comparison and quantitative synthesis of the available data.

Indexed as

MelanomaSkin NeoplasmsHumansIncidenceNeoplasm StagingPrognosisRisk FactorsMelanomaNeoplasm metastasisPrognosisRecurrence

Identifiers

PMID42066632
PMCPMC13145253

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Registered trials

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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.