Article ; Online: Distinct presentation of melanoma in Black patients may inform strategies to improve outcomes.
2024 Volume 129, Issue 6, Page(s) 1041–1050
Abstract: Introduction: Melanoma guidelines stem largely from data on non-Hispanic White (NHW) patients. We aimed to identify features of melanoma within non-Hispanic Black (NHB) patients to inform strategies for earlier detection and treatment.: Methods: From ...
Abstract | Introduction: Melanoma guidelines stem largely from data on non-Hispanic White (NHW) patients. We aimed to identify features of melanoma within non-Hispanic Black (NHB) patients to inform strategies for earlier detection and treatment. Methods: From 2004 to 2019 Surveillance, Epidemiology, and End Results (SEER) data, we identified nonmetastatic melanoma patients with known TN category and race. Kaplan-Meier cancer-specific survival (CSS) estimates and multivariable Cox proportional hazard modeling analyses were performed. Results: Of 492 597 patients, 1499 (0.3%) were NHB, who were younger (21% vs. 17% age <50) and more commonly female (54% vs. 41%) than NHW, both p < 0.0005. For NHBs, lower extremity was the most common site (52% vs. 15% for NHWs, p < 0.0001), T category was higher (55% Tis-T1 vs. 82%; 27% T3-T4 vs. 8%, p < 0.0001) and stage at presentation was higher (19% Stage III, vs. 6%, p < 0.0001). Within the NHB cohort, males were older, and more often node-positive than females. Five-year Stage III CSS was 42% for NHB males versus 71% for females, adjusting for age and clinical nodal status (hazard ratio 2.48). Conclusions: NHB melanoma patients presented with distinct tumor characteristics. NHB males with Stage III disease had inferior CSS. Focus on this high-risk patient cohort to promote earlier detection and treatment may improve outcomes. |
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MeSH term(s) | Humans ; Melanoma/pathology ; Melanoma/mortality ; Melanoma/therapy ; Melanoma/ethnology ; Male ; Female ; Middle Aged ; SEER Program ; Skin Neoplasms/pathology ; Skin Neoplasms/mortality ; Skin Neoplasms/therapy ; Skin Neoplasms/ethnology ; Survival Rate ; Black or African American/statistics & numerical data ; Aged ; Adult ; Prognosis ; Follow-Up Studies |
Language | English |
Publishing date | 2024-03-04 |
Publishing country | United States |
Document type | Journal Article ; Review |
ZDB-ID | 82063-5 |
ISSN | 1096-9098 ; 0022-4790 |
ISSN (online) | 1096-9098 |
ISSN | 0022-4790 |
DOI | 10.1002/jso.27608 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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