Increasing Age Is Associated with Worse Prognostic Factors and Increased Distant Recurrences despite Fewer Sentinel Lymph Node Positives in Melanoma
Joint Authors
Page, A. J.
Delman, K. A.
Li, A.
Hestley, A.
Carlson, G. W.
Murray, D.
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-03-18
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Advanced age is associated with a poorer prognosis in patients with melanoma.
Despite this established finding, a decreased incidence of positive sentinel lymph nodes (SLNs) with advancing age has paradoxically been described.
Methods.
Using a single-institution database of melanoma patients between 1994 and 2009, the relationship between standard clinicopathologic variables and recurrence based on age was evaluated.
Results.
1244 patients who underwent successful SLN biopsies were analyzed (mean followup 80.3 months).
Increasing age was independently associated with worse survival on multivariable analysis (P=0.02).
SLN status was more likely to be negative if the patient was older (P=0.01).
Conclusions.
Our data supports the paradox that increasing age is associated with a lower frequency of positive-SLN biopsies despite age itself being a poor prognostic factor.
We propose that age-dependent variations in the primary tumor and the patient may predispose to a hematogenous route of spread for the older population, leading to worse survival.
American Psychological Association (APA)
Page, A. J.& Li, A.& Hestley, A.& Murray, D.& Carlson, G. W.& Delman, K. A.. 2012. Increasing Age Is Associated with Worse Prognostic Factors and Increased Distant Recurrences despite Fewer Sentinel Lymph Node Positives in Melanoma. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-472993
Modern Language Association (MLA)
Page, A. J.…[et al.]. Increasing Age Is Associated with Worse Prognostic Factors and Increased Distant Recurrences despite Fewer Sentinel Lymph Node Positives in Melanoma. International Journal of Surgical Oncology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-472993
American Medical Association (AMA)
Page, A. J.& Li, A.& Hestley, A.& Murray, D.& Carlson, G. W.& Delman, K. A.. Increasing Age Is Associated with Worse Prognostic Factors and Increased Distant Recurrences despite Fewer Sentinel Lymph Node Positives in Melanoma. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-472993
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-472993