Screening, early detection, and trends for melanoma: Current status (2000-2006) and future directions

Geller, Alan C.; Swetter, Susan M.; Brooks, Katie R.; Demierre, Marie‐France; Yaroch, Amy L.

doi:10.1016/j.jaad.2007.06.032

Cited by 217 publications

(183 citation statements)

References 136 publications

(128 reference statements)

Supporting

Mentioning

164

Contrasting

Unclassified

Order By: Relevance

“…Mortality from melanoma has also increased in many populations in recent decades [5], although for patients presenting with thin lesions, gains in survival have been observed, which have been attributed to improvements in early detection and better surgical treatment [6].…”

mentioning

confidence: 99%

Testing the divergent pathway hypothesis for melanoma: recent findings and future challenges

Whiteman¹

2010

Expert Review of Anticancer Therapy

View full text Add to dashboard Cite

mentioning

confidence: 99%

Testing the divergent pathway hypothesis for melanoma: recent findings and future challenges

Whiteman¹

2010

Expert Review of Anticancer Therapy

View full text Add to dashboard Cite

“…Progress needs to be made to reach high risk subgroups especially in the low socioeconomic neighborhoods who suffer a disproportionate burden of death from melanoma. Worldwide melanoma control must also be a priority with comprehensive educational and screening programs, especially in communities and hospitals where there are insufficient dermatologists (Geller, Swetter, & Brooks, 2007). Full-body examinations by primary care physician have been shown to save lives that otherwise would have been lost to melanoma (Geller, Swetter, & Brooks, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Worldwide melanoma control must also be a priority with comprehensive educational and screening programs, especially in communities and hospitals where there are insufficient dermatologists (Geller, Swetter, & Brooks, 2007). Full-body examinations by primary care physician have been shown to save lives that otherwise would have been lost to melanoma (Geller, Swetter, & Brooks, 2007). Since most patients typically have contact with their physicians in the year preceding the diagnosis, many lesions can be diagnosed earlier with the assistance of thorough physical examination by the primary care providers especially in the high risk populations (Reyes, Freeman, & Kuo, 2007;Elwood & Hislop, 1982).…”

Section: Discussionmentioning

confidence: 99%

“…While cutaneous melanomas are less common than Basal and Squamous cell skin cancers, they are by far the most lethal skin cancer and both their incidence and mortality rates have only risen over the past few decades (Desmond & Soong, 2003;Geller, Swetter & Brooks, 2007;Pellacani, Scocco & Vinceti, 2008). While Caucasians have the highest incidence compared to their African American and Hispanic counterparts, recent decades have seen an slow rise in the incidence of cutaneous melanomas in minority groups as well (Adegbidi, Yedomon, Atadokpede, Balley-Pognon, & do Ango-Padono, 2007;Geller, Swetter, & Brooks, 2007). Besides the variability in melanocytes between subpopulations of different genders, lack of awareness and underreporting might also explain the disparity seen among various minority groups.…”

Section: Introductionmentioning

confidence: 99%

“…As with many malignancies, the outcome of melanoma initially depends on the stage at presentation (Balch et al, 2004). Screening and early detection programs ideally detect melanomas at an early and curable stage (Geller, Swetter, & Brooks, 2007). According to Surveillance, Epidemiology, and End Results (SEER) data, it is the fifth most common cancer among white men and the eighth most common cancer in white females (Ries et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cutaneous Melanoma at an Inner City University Program and the Need for Aggressive Public Awareness Programs: A Pilot, Twelve Year Review

Tariq¹,

Arezo²,

Rana³

2014

CCO

View full text Add to dashboard Cite

Background: Cutaneous melanoma is a very common and lethal subtype of skin cancers. It is associated with certain risk factors, like exposure to UV radiation that can be avoided. It therefore essential to increase public awareness about this malignancy in order to either avoid this cancer altogether or at least be able to diagnose it in its earlier stages.Method: This is a retrospective review of the Tumor Registry at University of Florida College of Medicine-Jacksonville during the period between the January 1, 1995 and the December 31, 2007. Data was collected on various clinic-pathological variables including the date of registration, age, race, staging and anatomic distribution with special focus on the gender distribution of cutaneous melanoma in our patient population. Anatomic locations were classified into 4 groupings: head and neck, trunk (consisting of the sub regions of the chest, abdomen, groin, upper back, lower back, and buttocks), upper extremities (upper arms, forearms and elbows, and hands), and lower extremities (thighs, lower legs and knees, and feet). Categorical data were analyzed using Chi-square testing.Results: Data analysis from the past 12 years revealed a total of 323 patients with primary cutaneous melanoma with 63% (205) men, and 37% (118) females. Median age was 56 years (age range, 14-87 years). Mean age was 55 with SD +/-16.8, women were younger than men with a mean age at diagnosis of 50 and 57 years respectively (p <.05). Patients under the age of 35 accounted for 16% of cases. 317 patients were classified as white (98%) and 6 were African American (2%). Mean age was 54 and 58 years for Caucasian and African Americans respectively with p= 0.035. Among men, 25% of the melanomas were on the head and neck, 31% on the trunk, 23% on the upper extremities and 12% on the lower extremities. For women, 17% of the melanomas were on the head and neck, 29% on the trunk, 24% on the upper extremities, and 24% on the lower extremities. The primary tumor was predominantly located on the trunk in 60% of the patients, in men (31%) and in women (29%) with P= 0.029. Significant results are tabulated in the tables listed below. Conclusion:To our knowledge this is the first study on malignant melanoma from our institution in Jacksonville, Florida. There were more male patients than women, supporting a sex distribution difference of almost 2 to 1.

show abstract

Routine Dermatologist-Performed Full-Body Skin Examination and Early Melanoma Detection

Kantor¹,

Kantor²

2009

Arch Dermatol

View full text Add to dashboard Cite

Patients: Patients with 126 melanomas, of which 51 were invasive and 75 were melanomas in situ.Main Outcome Measures: Proportion of melanomas detected as a result of patient complaint vs proportion determined by dermatologist-conducted full-body skin examination (FBSE). As a secondary analysis, we used logistic regression odds ratios (ORs) of association to examine whether dermatologist detection rather than patient complaint was associated with detecting thinner melanomas. A post hoc analysis was performed using a thickness cutoff of 1.0 mm to define a deep melanoma.Results: Overall, 56.3% (95% confidence interval [CI], 47.6%-65.1%) of melanomas were found by the dermatologist and were not part of the presenting complaint. Of melanomas in situ, 60.0% (95% CI, 48.7%-71.3%) were dermatologist detected. Dermatologist detection was significantly associated with thinner melanomas, with an OR of 0.42 (P = .04). We found a significant association between thinner melanomas as a group (thickness Ͻ1 mm) and dermatologist detection, with a logistic regression OR of 5.0 (95% CI, 1.0-25.3).Conclusions: Most melanomas detected in a generalpractice dermatology setting were found as a result of dermatologist-initiated FBSE, not patient complaint. We found that dermatologist detection was associated with thinner melanomas and an increasing likelihood of the melanoma being in situ.

show abstract

Screening, early detection, and trends for melanoma: Current status (2000-2006) and future directions

Cited by 217 publications

References 136 publications

Testing the divergent pathway hypothesis for melanoma: recent findings and future challenges

Testing the divergent pathway hypothesis for melanoma: recent findings and future challenges

Cutaneous Melanoma at an Inner City University Program and the Need for Aggressive Public Awareness Programs: A Pilot, Twelve Year Review

Routine Dermatologist-Performed Full-Body Skin Examination and Early Melanoma Detection

Contact Info

Product

Resources

About