Superficial spreading melanomas in children: An analysis of outcomes using the Surveillance, Epidemiology, and End Results (SEER) database

Bassan J. Allan, Steven Ovadia, Jun Tashiro, Seth Thaller

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose This study aims to review the incidence and outcomes for children with superficial spreading melanomas (SSM) using population-based data. Methods The Surveillance, Epidemiology, and End Results database (1974-2009) was analyzed for all patients less than 20 years of age diagnosed with SSM. Results Overall, 724 patients were identified. The annual age-adjusted incidence was 1.78 cases per 1,000,000 in 2009. Most patients were adolescents (N = 620, 85.6%), girls (N = 478, 66.0%), and Caucasian (N = 670, 92.5%). Most tumors were located on the trunk (N = 308, 42.5%) or lower extremities (N = 160, 22.1%). Overall and disease-specific survivals were 95.6% and 97.6%, respectively. Lymph node positivity decreased disease-specific survival among patients undergoing lymph node dissection (86% vs. 100% for negative lymph nodes, P = 0.001). Conclusions Incidence of SSM increased in the early part of the study, but has remained relatively stable over the past 2 decades. Girls are at higher risk of development of the disease. Outcomes for children with SSM are very favorable.

Original languageEnglish (US)
Pages (from-to)327-331
Number of pages5
JournalAnnals of Plastic Surgery
Volume75
Issue number3
DOIs
StatePublished - Sep 22 2015

Fingerprint

Melanoma
Epidemiology
Databases
Incidence
Lymph Nodes
Survival
Lymph Node Excision
Lower Extremity
Population
Neoplasms

Keywords

  • melanoma
  • outcomes
  • pediatrics
  • SEER

ASJC Scopus subject areas

  • Surgery

Cite this

Superficial spreading melanomas in children : An analysis of outcomes using the Surveillance, Epidemiology, and End Results (SEER) database. / Allan, Bassan J.; Ovadia, Steven; Tashiro, Jun; Thaller, Seth.

In: Annals of Plastic Surgery, Vol. 75, No. 3, 22.09.2015, p. 327-331.

Research output: Contribution to journalArticle

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abstract = "Purpose This study aims to review the incidence and outcomes for children with superficial spreading melanomas (SSM) using population-based data. Methods The Surveillance, Epidemiology, and End Results database (1974-2009) was analyzed for all patients less than 20 years of age diagnosed with SSM. Results Overall, 724 patients were identified. The annual age-adjusted incidence was 1.78 cases per 1,000,000 in 2009. Most patients were adolescents (N = 620, 85.6{\%}), girls (N = 478, 66.0{\%}), and Caucasian (N = 670, 92.5{\%}). Most tumors were located on the trunk (N = 308, 42.5{\%}) or lower extremities (N = 160, 22.1{\%}). Overall and disease-specific survivals were 95.6{\%} and 97.6{\%}, respectively. Lymph node positivity decreased disease-specific survival among patients undergoing lymph node dissection (86{\%} vs. 100{\%} for negative lymph nodes, P = 0.001). Conclusions Incidence of SSM increased in the early part of the study, but has remained relatively stable over the past 2 decades. Girls are at higher risk of development of the disease. Outcomes for children with SSM are very favorable.",
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N2 - Purpose This study aims to review the incidence and outcomes for children with superficial spreading melanomas (SSM) using population-based data. Methods The Surveillance, Epidemiology, and End Results database (1974-2009) was analyzed for all patients less than 20 years of age diagnosed with SSM. Results Overall, 724 patients were identified. The annual age-adjusted incidence was 1.78 cases per 1,000,000 in 2009. Most patients were adolescents (N = 620, 85.6%), girls (N = 478, 66.0%), and Caucasian (N = 670, 92.5%). Most tumors were located on the trunk (N = 308, 42.5%) or lower extremities (N = 160, 22.1%). Overall and disease-specific survivals were 95.6% and 97.6%, respectively. Lymph node positivity decreased disease-specific survival among patients undergoing lymph node dissection (86% vs. 100% for negative lymph nodes, P = 0.001). Conclusions Incidence of SSM increased in the early part of the study, but has remained relatively stable over the past 2 decades. Girls are at higher risk of development of the disease. Outcomes for children with SSM are very favorable.

AB - Purpose This study aims to review the incidence and outcomes for children with superficial spreading melanomas (SSM) using population-based data. Methods The Surveillance, Epidemiology, and End Results database (1974-2009) was analyzed for all patients less than 20 years of age diagnosed with SSM. Results Overall, 724 patients were identified. The annual age-adjusted incidence was 1.78 cases per 1,000,000 in 2009. Most patients were adolescents (N = 620, 85.6%), girls (N = 478, 66.0%), and Caucasian (N = 670, 92.5%). Most tumors were located on the trunk (N = 308, 42.5%) or lower extremities (N = 160, 22.1%). Overall and disease-specific survivals were 95.6% and 97.6%, respectively. Lymph node positivity decreased disease-specific survival among patients undergoing lymph node dissection (86% vs. 100% for negative lymph nodes, P = 0.001). Conclusions Incidence of SSM increased in the early part of the study, but has remained relatively stable over the past 2 decades. Girls are at higher risk of development of the disease. Outcomes for children with SSM are very favorable.

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