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中国中部地区恶性黑色素瘤的临床特征及转移预测因素

Clinical characteristics of malignant melanoma in central China and predictors of metastasis.

作者信息

Shi Ke, Zhu Xuran, Liu Zhongyang, Sun Nan, Gu Luosha, Wei Yang, Cheng Xu, Zhang Zewei, Xie Baihui, Yang Shuaixi, Li Guangshuai, Liu Linbo

机构信息

Department of Plastic Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China.

Department of Anorectal Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, P.R. China.

出版信息

Oncol Lett. 2020 Feb;19(2):1452-1464. doi: 10.3892/ol.2019.11219. Epub 2019 Dec 16.

Abstract

Cutaneous malignant melanoma (MM) is the most malignant type of all skin neoplasms. There is wide variability in the characteristics of MM between patients of different races. The aim of the present study was to investigate the clinicopathological characteristics of patients with MM in central China and to assess the value of specific hematological and biochemical indices for predicting metastasis. The data of 167 patients with MM from the First Affiliated Hospital of Zhengzhou University (Henan, China) were retrospectively analyzed and compared with the data of patients with MM available from cBioPortal for Cancer Genomics. Following analysis of the clinicopathological characteristics of the 167 patients, the median overall survival time was 50 months, and the median disease-free survival time was 35 months. Albumin/D-dimer prognosis score (ADPS), lactate dehydrogenase, sex, T stage, tumor-node-metastasis stage, Breslow thickness, Clark level, histological type, growth phase, ulceration and metastasis were all significantly associated with prognosis. An ADPS of <341.01 was identified as an independent predictor of metastasis. The trial registration no. is 2018-LW-037 and this clinical trial was registered in the First Affiliated Hospital of Zhengzhou University Clinical Trial Registry in March 1, 2018.

摘要

皮肤恶性黑色素瘤(MM)是所有皮肤肿瘤中恶性程度最高的类型。不同种族患者的MM特征存在很大差异。本研究的目的是调查中国中部地区MM患者的临床病理特征,并评估特定血液学和生化指标对预测转移的价值。对郑州大学第一附属医院(中国河南)的167例MM患者的数据进行回顾性分析,并与癌症基因组学cBioPortal提供的MM患者数据进行比较。在分析这167例患者的临床病理特征后,中位总生存时间为50个月,中位无病生存时间为35个月。白蛋白/D-二聚体预后评分(ADPS)、乳酸脱氢酶、性别、T分期、肿瘤-淋巴结-转移分期、Breslow厚度、Clark分级、组织学类型、生长阶段、溃疡和转移均与预后显著相关。ADPS<341.01被确定为转移的独立预测因素。试验注册号为2018-LW-037,该临床试验于2018年3月1日在郑州大学第一附属医院临床试验注册中心注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4437/6960383/73aca4f7536c/ol-19-02-1452-g00.jpg

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