Clinical and Experimental Dermatology,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 22, 2024
Abstract
Background
Cutaneous
malignant
melanoma
(CMM)
represents
a
global
public
health
problem.
Epidemiological
studies
about
CMM
trends
tend
to
focus
on
single
indicators
or
lack
information
tumour
characteristics
that
can
help
gain
more
thorough
understanding
of
epidemiology.
Objectives
To
fill
this
gap,
we
studied
in
incidence,
mortality
and
survival
over
three
decades
considered
sex,
age
characteristics.
Methods
Data
were
obtained
for
all
patients
with
new
diagnosis
during
1985–2017
from
the
population-based
cancer
registry
Granada
(Southern
Spain)
deaths
owing
Ministry
Health
Spanish
government.
Incidence,
estimates
according
group,
anatomical
site,
histological
type,
Breslow
index
Clark
level.
Observed
net
calculated
1,
3
5
years
using
Kaplan–Meier
Pohar–Perme
methods,
respectively.
Log-linear
jointpoint
regression
was
used
assess
temporal
age-standardized
rates
incidence
mortality.
Results
Between
1985
2017,
2446
aged
≥
15
newly
diagnosed
CMM.
There
significant
increase
both
males
females
(annual
percentage
change
4.4%
3.7%,
respectively),
mainly
superficial
spreading
nodular
melanomas,
pronounced
among
those
<
1
mm
index.
Mortality
increased,
driven
by
increases
individuals
65
old.
Nodular
had
worst
prognosis,
5-year
62.7%
period
2008–2017
compared
>
90%
other
subtypes.
Overall
improved
78.3%
1985–1997
88.6%
2008–2017,
clear
trend
Conclusions
The
early
stages
Southern
Spain
has
increased
recent
decades.
This
been
accompanied
noticeable
improvements
survival,
especially
younger
groups,
suggesting
potential
effectiveness
prevention
strategies
treatment
regimens.
Critical Reviews in Oncology/Hematology,
Год журнала:
2024,
Номер
201, С. 104435 - 104435
Опубликована: Июль 6, 2024
Melanoma
pathogenesis,
conventionally
perceived
as
a
linear
accumulation
of
molecular
changes,
discloses
substantial
heterogeneity
driven
by
non-linear
biological
processes,
including
the
direct
transformation
melanocyte
stem
cells.
This
manifests
in
diverse
phenotypes
and
developmental
states,
influencing
variable
responses
to
treatments.
Unveiling
aberrant
mechanisms
steering
melanoma
initiation,
progression,
metastasis
is
imperative.
Beyond
mutations
oncogenic
tumor
suppressor
genes,
involvement
distinct
pathways
assumes
pivotal
role
pathogenesis.
Ultraviolet
(UV)
radiations,
principal
factor
etiology,
categorizes
melanomas
based
on
cumulative
sun
damage
(CSD).
The
genomic
landscape
lesions
correlates
with
UV
exposure,
impacting
mutational
load
spectrum
mutations.
World
Health
Organization's
2018
classification
underscores
interplay
between
exposure
characteristics,
distinguishing
associated
CSD
from
those
unrelated
CSD.
elucidates
features
such
burden
copy
number
alterations
different
subtypes.
significance
mutated
BRAF
gene
its
pathway,
notably
BRAFV600
variants,
paramount.
mutations,
prevalent
across
cancer
types,
present
therapeutic
avenues,
clinical
trials
validating
efficacy
targeted
therapies
immunotherapy.
Additional
driver
oncogenes
further
characterize
specific
pathways,
behavior.
While
histopathological
examination
remains
pivotal,
challenges
persist
molecularly
classifying
melanocytic
tumors.
In
this
review,
we
went
through
all
characterization
that
aid
discriminating
common
ambiguous
lesions.
Integration
highly
sensitive
diagnostic
tests
into
workflow
becomes
indispensable,
particularly
instances
where
histology
alone
fails
achieve
conclusive
diagnosis.
A
algorithm
inferred
various
studies
here
proposed.
Health at a glance. Asia/Pacific,
Год журнала:
2022,
Номер
unknown
Опубликована: Дек. 9, 2022
Optimal
feeding
practices
of
infants
can
increase
their
chances
survival.
They
play
an
important
role
for
healthy
growth
and
development,
decrease
rates
stunting
obesity
stimulate
intellectual
development
(UNICEF,
2019[1]).
Cancers,
Год журнала:
2023,
Номер
15(23), С. 5634 - 5634
Опубликована: Ноя. 29, 2023
Skin
cancer,
a
malignant
neoplasm
originating
from
skin
cell
types
including
keratinocytes,
melanocytes,
and
sweat
glands,
comprises
three
primary
forms:
basal
carcinoma
(BCC),
squamous
(SCC),
melanoma
(MM).
BCC
SCC,
while
constituting
the
most
prevalent
categories
of
are
generally
considered
less
aggressive
compared
to
MM.
Notably,
MM
possesses
greater
capacity
for
invasiveness,
enabling
infiltration
into
adjacent
tissues
dissemination
via
both
circulatory
lymphatic
systems.
Risk
factors
associated
with
cancer
encompass
ultraviolet
(UV)
radiation
exposure,
fair
complexion,
history
sunburn
incidents,
genetic
predisposition,
immunosuppressive
conditions,
exposure
environmental
carcinogens.
Early
detection
is
paramount
importance
optimize
treatment
outcomes
preclude
progression
disease,
either
locally
or
distant
sites.
In
pursuit
this
objective,
numerous
computer-aided
diagnosis
(CAD)
systems
have
been
developed.
Hyperspectral
imaging
(HSI),
distinguished
by
its
capture
information
spanning
electromagnetic
spectrum,
surpasses
conventional
RGB
imaging,
which
relies
solely
on
color
channels.
Consequently,
study
offers
comprehensive
exploration
recent
CAD
investigations
pertaining
utilizing
HSI,
emphasizing
diagnostic
performance
parameters
such
as
sensitivity
specificity.
Journal for ImmunoTherapy of Cancer,
Год журнала:
2024,
Номер
12(3), С. e007501 - e007501
Опубликована: Март 1, 2024
Background
Adjuvant
pembrolizumab
significantly
improved
recurrence-free
survival
(RFS)
and
distant
metastasis-free
(DMFS)
versus
placebo
in
the
phase
3
KEYNOTE-716
study
of
resected
stage
IIB
or
IIC
melanoma.
At
prespecified
third
interim
analysis
(data
cut-off,
January
4,
2022),
HR
for
RFS
overall
population
was
0.64
(95%
CI,
0.50
to
0.84)
DMFS
0.47
0.88).
We
present
a
post
hoc
efficacy
by
subtypes
defined
histopathologic
characteristics.
Methods
Patients
aged
≥12
years
with
newly
diagnosed,
melanoma
were
randomly
assigned
(1:1)
200
mg
every
weeks
(2
mg/kg
up
pediatric
patients)
placebo.
The
primary
end
point
per
investigator
review;
review
secondary.
Subgroups
interest
subtype
(nodular
vs
non-nodular),
tumor
thickness
(≤4
mm
>4
mm),
presence
ulceration
(yes
no),
mitotic
rate
(<5
2
(median)
≥5
),
tumor-infiltrating
lymphocytes
(TILs;
absent
present).
Results
Between
September
23,
2018,
November
2020,
976
patients
(n=487)
(n=489).
Median
follow-up
27.4
months
(range,
14.0–39.4).
CI)
0.54
(0.37
0.79)
nodular
0.77
(0.53
1.11)
non-nodular
melanoma;
0.57
0.89)
≤4
0.69
(0.50
0.96)
mm;
0.66
(0.32
1.03)
no
ulceration;
(0.35
0.92)
<5
(0.40
0.80)
;
0.89
(0.52
1.54)
TILs
0.51
(0.34
0.76)
present.
results
similar.
In
Cox
multivariate
analysis,
treatment
arm,
thickness,
significant
independent
factors
RFS,
arm
DMFS.
Conclusions
this
benefit
largely
consistent
regardless
These
support
use
adjuvant
Trial
registration
number
ClinicalTrials.gov,
NCT03553836
.
International Journal of Molecular Sciences,
Год журнала:
2023,
Номер
24(12), С. 9985 - 9985
Опубликована: Июнь 10, 2023
Diagnosing
cutaneous
melanoma
is
usually
straightforward
based
on
these
malignancies'
histopathological
and
immunohistochemical
features.
Nevertheless,
melanomas
can
imitate
various
other
neoplasms,
sometimes
lacking
the
expression
of
conventional
melanocytic
markers
expressing
non-melanocytic
ones.
Furthermore,
divergent
differentiation
more
often
encountered
in
metastatic
still
poorly
described
primary
melanomas,
little
known
about
patients'
prognosis
therapeutic
approach.
Therefore,
we
reviewed
literature
undifferentiated/dedifferentiated
discuss
histological,
immunohistochemical,
molecular
profiles
to
understand
peculiar
lesions
better
improve
their
diagnostic
algorithm.
In
addition
this,
also
how
different
genetic
mutations
may
influence
become
potential
targets.
Neoplasia,
Год журнала:
2023,
Номер
46, С. 100947 - 100947
Опубликована: Окт. 31, 2023
Acral
melanoma
is
a
rare
subtype
of
that
arises
on
the
non-hair
bearing
skin
nail
bed,
palms
hand
and
soles
feet.
It
unique
among
melanomas
in
not
being
linked
to
ultraviolet
radiation
(UVR)
exposure
from
sun,
and,
as
such,
its
incidence
similar
across
populations
who
are
Asian,
Hispanic,
African
European
origin.
Although
research
into
acral
has
lagged
behind
sun-exposed
cutaneous
melanoma,
recent
studies
have
begun
address
genetics
immune
features
melanoma.
In
this
review
we
will
discuss
latest
progress
understanding
biology
different
ethnic
outline
how
these
new
discoveries
can
help
guide
therapeutic
management
tumor.