%0 Journal Article
%T Lethal Melanomas: A Population-based Registry Study in Western Sweden from 1990 to 2014
%A David C. Whiteman
%A John Paoli
%A Magdalena Claeson
%A Martin Gillstedt
%J -
%@ 1651-2057
%D 2017
%R 10.2340/00015555-2758
%X The incidence rates of thin melanomas (≒1 mm Breslow thickness) have increased in many fair-skinned populations, prompting a need to better identify patients with thin melanomas who will eventually die from the disease. This study aimed to describe the clinicopathological characteristics of lethal melanomas in Western Sweden, with a focus on thin lesions. Population-based data on invasive melanomas diagnosed during the years 1990 to 2014 were extracted from the Swedish Melanoma Registry, and linked to the Swedish Cause of Death Registry. The age-standardized incidence (US population 2000) of thin melanomas increased from 9.1℅10每5 (95% confidence interval (95% CI) 8.5每9.8) to 21.3℅10每5 (95% CI 20.4每22.1) during the study period. Thin melanomas comprised 55.2% of the total and contributed to 13.5% of all melanoma deaths. Non-ulcerated melanomas 0.76每1 mm and ulcerated melanomas 0.26每1.0 mm showed a poorer survival compared with other thin melanomas.
%U http://www.medicaljournals.se/acta/content/abstract/10.2340/00015555-2758