Racial and ethnic variations in incidence and survival of cutaneous melanoma in the United States, 1999-2006 - 20/10/11
, Melody J. Eide, MD, MPH b, Jessica King, MPH (CDC) c, Mona Saraiya, MD, MPH (CDC) c, Youjie Huang, MD, MPH, DrPH e, Charles Wiggins, PhD f, Jill S. Barnholtz-Sloan, PhD g, Nicolle Martin, MD, MPH h, Vilma Cokkinides, PhD i, Jacqueline Miller, MD (CDC) c, Pragna Patel, MD, MPH (CDC) d, Donatus U. Ekwueme, PhD (CDC) c, Julian Kim, MD, FACS j
Reprint requests: Xiao-Cheng Wu, MD, MPH, 1615 Poydras St, Suite 1400, New Orleans, LA 70112.Abstract |
Background |
Most melanoma studies use data from the National Cancer Institute Surveillance, Epidemiology, and End Results Program or individual cancer registries. Small numbers of melanoma cases have limited in-depth analyses for all racial and ethnic groups.
Objective |
We sought to describe racial and ethnic variations in melanoma incidence and survival.
Methods |
Incidence for invasive melanoma and 5-year melanoma-specific survival were calculated for whites, blacks, American Indians/Alaskan Natives, Asians/Pacific Islanders (API), and Hispanics using data from 38 population-based cancer registries.
Results |
Incidence rates of melanoma were significantly higher for females than males among whites and Hispanics under 50 years of age and APIs under 40 years of age. White and black patients were older (median age: 59-63 years) compared with Hispanics, American Indians/Alaskan Natives, and API (median age: 52-56 years). The most common histologic type was acral lentiginous melanoma among blacks and superficial spreading melanoma among all other racial and ethnic groups. Hispanics had the highest incidence rate of acral lentiginous melanoma, significantly higher than whites and API. Nonwhites were more likely to have advanced and thicker melanomas at diagnosis and lower melanoma-specific survival compared with whites.
Limitations |
Over 50% of melanoma cases did not have specified histology. The numbers of nonwhite patients were still relatively small despite broad population coverage (67% of United States).
Conclusions |
Racial and ethnic differences in age at melanoma diagnosis, anatomic sites, and histologic types suggest variations in etiologic pathways. The high percentages of advanced and thicker melanomas among nonwhites highlight the need to improve melanoma awareness for all race and ethnicity in the United States.
Le texte complet de cet article est disponible en PDF.Key words : anatomic sites, cancer registry, histology, incidence, melanoma, race and ethnicity, survival
Abbreviations used : AI/AN, ALM, API, CDC, LMM, NCI, NPCR, SEER, SSM, SS2000
Plan
| Publication of this supplement to the JAAD was supported by the Division of Cancer Prevention and Control, Centers for Disease Control and Prevention (CDC). Dr Kim was supported by National Institutes of Health K23 CA109115-01A3. |
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| Conflicts of interest: None declared. |
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| The opinions or views expressed in this supplement are those of the authors and do not necessarily reflect the opinions, recommendations, or official position of the journal editors or the Centers for Disease Control and Prevention. |
Vol 65 - N° 5S1
P. S26.e1-S26.e13 - novembre 2011 Retour au numéro
Article précédent
- Recent trends in cutaneous melanoma incidence and death rates in the United States, 1992-2006
- Ahmedin Jemal, Mona Saraiya, Pragna Patel, Sai S. Cherala, Jill Barnholtz-Sloan, Julian Kim, Charles L. Wiggins, Phyllis A. Wingo
- Melanoma in adolescents and young adults (ages 15-39 years): United States, 1999-2006
- Hannah K. Weir, Loraine D. Marrett, Vilma Cokkinides, Jill Barnholtz-Sloan, Pragna Patel, Eric Tai, Ahmedin Jemal, Jun Li, Julian Kim, Donatus U. Ekwueme
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