Evidence map›Paper›PMID 42253125›Full record

ArticleActa oncologica (Stockholm, Sweden)2026

Detection of disease recurrence in real-world patients with completely resected stage III cutaneous melanoma.

Tiina Peuranheimo, Anni Hellman, Siru Mäkelä, Kalle Mattila, Micaela Hernberg

Abstract read
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Article in Acta oncologica (Stockholm, Sweden), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Tiina PeuranheimoComprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland. tiina.peuranheimo@hus.fi.ORCID 0009-0000-5346-0877
Anni HellmanComprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
Siru MäkeläComprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-5720-5993
Kalle Mattila *Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-9688-9187
Micaela Hernberg *Comprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.ORCID 0000-0002-0139-4596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeOptimal postoperative follow-up for high-risk cutaneous melanomas (CM) is unclear. We aimed to evaluate disease recurrences in patients with stage III CM before modern adjuvant therapies. Patient/material and methods: Three hundred and fifty patients with a median follow-up of 8.9 years at Helsinki University Hospital Comprehensive Cancer Center after complete resection of stage IIIA-D CM between 2008 and 2017 were identified. Information on baseline characteristics, recurrence patterns and survival were collected from electronic medical records.

resultsOne hundred and ninety patients (54.3%) developed disease recurrence with 258 recurrence events documented. Local recurrence occurred in 14.5, 27.0, 32.3 and 44.4% and distant metastases in 21.7, 40.5, 52.4 and 83.3% of patients with stage IIIA, IIIB, IIID and IIID, respectively. Median recurrence-free survival was not reached and 7.4 years in stage IIIA and IIIB compared to 2.9 and 0.9 years in IIIC and IIID. Routine computed tomography (CT) imaging revealed 51% of all recurrences and 64% of distant meta-stases. 13.2% of distant recurrences involved skin and soft tissues, 31.4 lungs, 34.0 other visceral organs and 21.5% brain. First recurrences occurred mostly during the first 2 years of follow-up (59.5-100% in stage IIIB-D) except for stage IIIA (45.0%). Most of recurrences detected by patients (58.0%), physical exams or ultrasound (76.1%) and routine CT (61.2%) occurred during the first 2 years.

interpretationHigh rate of recurrences and distant metastases supports routine physical exams and CT particularly during the first years of postoperative follow-up, especially in stage IIIB-D CM.

Indexed as

MelanomaNeoplasm Recurrence, LocalSkin NeoplasmsAdultAgedAged, 80 and overCutaneous Malignant MelanomaDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesTomography, X-Ray Computed

Identifiers

PMID42253125
PMCPMC13248745

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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.