SKIN MALIGNANT MELANOMA IN DERMATOVENEROLOGICAL PRACTICE AT THE GENERAL HOSPITAL SLOVENJ GRADEC IN THE PERIOD BETWEEN 1983–2000
Abstract
Background. In the recent decades the incidence of malignant melanoma has been rising. In dermatological practice at the General hospital in Slovenj Gradec three cases of malignant melanoma were diagnosted in 1983, but in the year 2000 we had ten patients with the same disease.
Methods and results. During 17 years I treated 81 patients with malignant melanoma, 46 of them were females, 35 males. In my research I conducted retrospective analysis according to sex, age, duration of the disease before visiting dermatologist, melanoma site, size (at first visit), histological type of growth, invasion and thickness of melanoma. In 1991 I started dermatoscopy. The youngest patient was 17, the oldest 89 years old. The most threatened group considering age is between 50–59 years. The average time before visiting a dermatologist totals to 17.3 months for males and 20.8 months for females. The most common melanoma site in male is on the body (68.57%) and in females on lower extremities (45.65%). Superficial spreading melanoma (39.2%) and nodular type (36.49%) are the most frequent types of growth. Considering the depth of invasion Clark 4 (37.83%) predominates, regarding the thickness of the tumor (Breslow) the group between 1.51–4 mm (40.54%) prevails.
Conclusions. Results of the research on malignant melanoma in dermatological practice at the General hospital in Slovenj Gradec are comparable with epidemiological characteristics in Slovenia, some statements could also be compared with findings in foreign studies.
Downloads
References
Pompe–Kirn V. Epidemiološke značilnosti kožnega malignega melanoma v Sloveniji. Radiol Oncol 1999; 33: Suppl 1: S14–S19.
Garbe C, Buettner P, Ellwanger U et al. Das Zentralregister malignes Melanom der Deutschen dermatologischen Gesellschaft in den Jahren 1983– 1993. Hautartzt 1995; 46: 683–92.
Garbe C. Epidemiologija kožnega raka. Radiol Oncol 1999; 33: Suppl 1: S1–S13.
Rudolf Z. Maligni melanom kože. Onkologija 1997; 1: 19–23.
Garbe C, Buettner P, Ellwanger U, Orfanos C. Die Versorgung des primaeren malignen Melanoms der Haut im deutschen Sprachraum in den Jahren 1983 bis 1993. Hautartzt 1995; 46: 762–70.
Orfanos C, Jung E, Rassner G, Wolff H, Garbe C. Stellungnahme und Empfehlungen der Kommission malignes Melanom der deutschen dermatologischen Gesellschaft zur Diagnostik, Behandlung und Nachsorge des malignen Melanoms der Haut. Hautartzt 1994; 45: 285–91.
Pompe–Kirn V, Golouh R, Lindtner J et al. Incidenca raka v Sloveniji 1994. Poročilo RR št. 36. Ljubljana: Onkološki inštitut, 1997: 13–3.
Rudolf Z. Adjuvantno zdravljenje malignega melanoma. Radiol Oncol 1999; 33: Suppl 1: S50–S54.
Paul E, Kleiner H, Boedeker R. Epidemiologie und Prognose subungualer Melanome. Hautartzt 1992; 43: 286–90.
Schulz C, Stueckner M, Schulz H, Altmeyer P, Hoffmann K. Korrelation auflicht-mikroskopischer Charakteristika maligner Melanome mit den Tumorinvasionsstufen nach Clark. Hautartzt 1999; 50: 785–90.
Blum A, Rassner G, Garbe C. Auflichtmikroskopie und digitale Bildanalyse pigmentirter Hautveraenderungen. Hautartzt 2000; 51: 786–8.
Felmann R, Fellenz C, Gschnait F. Die ABCD Regel in der Dermatoskopie: Analyse von 500 melanozytaeren Laesionen. Hautartzt 1998; 49: 473–6.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
