Archives of Head and Neck Surgery
https://archivesheadnecksurgery.com/article/doi/10.4322/ahns.2018.0921
Archives of Head and Neck Surgery
Original Article Head and neck cutaneous tumors

Epidemiological, clinical and histological aspects of cutaneous melanoma of the head and neck region

Thiago Demétrio Nogueira Costa e Silva, Emidiana Raquel Rodrigues de Souza Oliveira, Sheila Maria da Conceição Costa, Cláudia Isabel Silva Carlos, Karla Regina Figueirôa Batista

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Abstract

Introduction: Melanoma accounts for only 4% skin malignancies, but its incidence has been increasing in recent decades. In addition, it has the worst prognosis and high mortality rate. Objective: To trace the clinical, epidemiological and histological profile of patients with melanoma. Materials and Methods: A retrospective and observational study was carried out through the charts of patients with the disease attended at the Center of Oncology and Hematology of Mossoró from 2006 to 2015. Results: There was a predominance of women (56.7%), with a mean age of 60.7 years, Caucasian people (61.0%), incomplete elementary school (62.0%), farmers (38.8%) and no history of cancer in the family (62.5%). The main complaint was the presence of elementary lesion (79.3%), which in most cases was in the trunk (38.8%) at an advanced stage (52.6%). The predominant lesion was extensive superficial melanoma (47.8%), with Breslow below 1 mm (28.2%) or above 4 mm (28.2%), Clark IV (48.7%), with ulceration (65%), but without angiolymphatic (83.3%) or perineural (95.8%) invasion. The treatment, in most cases, was surgical (71.7%). Regarding the survival, the average time of death of patients was 668.8 days. The mortality rate was 31.7%. Conclusion: The pattern found was similar to other studies, except for the variables of age and Clark level.

Keywords

skin neoplasms; melanoma; health profile; survival analysis.

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