Conflict of interest None declared.
Clinical and pathological characteristics of melanoma: a population-based study in a French regional population
Version of Record online: 5 APR 2011
© 2011 The Authors. Journal of the European Academy of Dermatology and Venereology © 2011 European Academy of Dermatology and Venereology
Journal of the European Academy of Dermatology and Venereology
Volume 26, Issue 2, pages 159–164, February 2012
How to Cite
Barbe, C., Hibon, E., Vitry, F., Le Clainche, A. and Grange, F. (2012), Clinical and pathological characteristics of melanoma: a population-based study in a French regional population. Journal of the European Academy of Dermatology and Venereology, 26: 159–164. doi: 10.1111/j.1468-3083.2011.04021.x
Funding sources Ligue contre le Cancer, Comité de la Marne.
- Issue online: 26 JAN 2012
- Version of Record online: 5 APR 2011
- Received: 29 September 2010; Accepted: 31 January 2011
Background Although incidence and mortality data are numerous, population-based studies including clinical and pathological characteristics of melanoma are rare.
Objectives To describe the characteristics of melanoma in a rural French region during 2004–2008 and to identify differences according to age, gender and geographical areas.
Methods Pathology reports of cutaneous melanomas diagnosed in residents from the Champagne-Ardenne region during 2004–2008 were anonymously collected from pathology laboratories. Demographic, clinical and pathological data were extracted and analysed by experts, including dermatologists, pathologists and epidemiologists.
Results One hundred and seventy-seven in situ melanomas were diagnosed in 177 patients (female/male ratio : 1.72). Patients with head and neck in situ melanomas were older than patients with melanomas in other locations (72 vs. 54 years; P < 0.0001). Six hundred and sixty-one invasive melanomas were diagnosed (female/male ratio : 1.26), corresponding to an annual incidence rate of 6.3/100 000. Male patients had thicker and more frequently ulcerated tumours. The location widely varied between genders, involving the trunk in 47% of male patients and the lower limb in 48% of female patients. Older patients had thicker and more advanced melanomas, with a more frequent head and neck location. Nodular, acral lentiginous and unclassified melanomas were much thicker than superficial spreading and lentigo maligna melanomas (4.37 vs. 1.33 mm, P < 0.0001). Primary melanomas of advanced stages were more frequent in one of the four districts of the study area. Overall, the mean Breslow thickness (2.02 mm) was much higher than that previously observed in other regions of north-eastern France (1.59 mm).
Conclusions Information and screening campaigns should particularly target rural areas, males, older people and focus on nodular, acrolentiginous and unclassified subtypes.