ArticleNeuro-oncology advances
Clinical factors associated with leptomeningeal disease in patients with melanoma brain metastasis.
Article in Neuro-oncology advances. 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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Abstract
Background: Leptomeningeal disease (LMD) is a severe manifestation of metastatic cancer with limited treatment options and a poor prognosis. Melanoma has one of the highest rates of leptomeningeal spread among solid tumors. Given the associated morbidity and mortality, identifying clinical factors linked to LMD in patients with melanoma brain metastases (MBM) is crucial. Methods: We conducted a retrospective study of 829 MBM patients diagnosed at MD Anderson Cancer Center (2009-2018). The primary outcome measure was time from MBM to LMD. Cumulative incidence of LMD was determined using the competing risks method, where death was the competing risk. Differences in cumulative incidences were assessed using Gray's test, and associations between measures of interest and cumulative incidence were determined using proportional sub-distribution hazards models. Results: Among 829 patients, 129 (16%) developed LMD (median follow-up: 12.1 months, range: 0.0-156.2 months). Median time from MBM diagnosis to LMD was 5.5 months. Of those with known mutation status ( Conclusion: LMD is a dire consequence of advanced melanoma, yet the clinical features associated with its development are not fully characterized. Identifying clinical predictors may guide management of high-risk populations.
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