The prognostic importance of tumor mitotic rate confirmed in 1317 patients with primary cutaneous melanoma and long follow-up

The late Dr. Vincent McGovern (1915 to 1983) was an international authority on melanoma pathology and one of the first to suggest that assessment of tumor mitotic rate (TMR) might provide useful prognostic information. Data for a large cohort of patients, now with extended follow-up, whose tumors ha...

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Bibliographic Details
Published in:Annals of surgical oncology 2004-04, Vol.11 (4), p.426-433
Main Authors: Francken, Anne Brecht, Shaw, Helen M, Thompson, John F, Soong, Seng-jaw, Accortt, Neil A, Azzola, Manuela F, Scolyer, Richard A, Milton, Gerald W, McCarthy, William H, Colman, Marjorie H, McGovern, Vincent J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Child
Female
Humans
Male
Melanoma - pathology
Middle Aged
Mitotic Index
Neoplasm Staging
Predictive Value of Tests
Prognosis
Proportional Hazards Models
Skin Neoplasms - pathology
Survival Analysis
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Summary:The late Dr. Vincent McGovern (1915 to 1983) was an international authority on melanoma pathology and one of the first to suggest that assessment of tumor mitotic rate (TMR) might provide useful prognostic information. Data for a large cohort of patients, now with extended follow-up, whose tumors had been assessed by Dr. McGovern were analyzed to reassess the independent prognostic value of TMR in primary localized, cutaneous melanoma. Information was extracted from the Sydney Melanoma Unit database for 1317 patients treated between 1957 and 1982 for whom there was complete clinical information and whose primary lesion pathology, which included tumor thickness, ulcerative state, and TMR, had been assessed by Dr. McGovern. All these assessments were made according to the recommendations of the Eighth International Pigment Cell Conference, held in Sydney in 1972 under the auspices of the International Union Against Cancer. Factors predicting melanoma-specific survival were analyzed with the Cox proportional hazards regression model. Stage, according to the recently revised American Joint Committee on Cancer Staging System (which is based on tumor thickness and ulceration) was the most predictive factor for survival (P
ISSN:1068-9265
1534-4681
DOI:10.1245/ASO.2004.07.014