Table 1. Five-year overall survival (OS) and disease-free survival (DFS) probabilities based on Kaplan-Meier in sentinel node staged patients with CM (n = 1909).
Prognostic Factor | Number of Patients n (%) | Censored (%) at OS | P value 5-year OS [95% CI] | Censored (%) at DFS | P-value 5-year DFS [95% CI] |
Thickness | P<0.0001 | P<0.001 | |||
≤1.00 mm | 188 (9.8%) | 96.8 | 97.5 [94.6, 100] | 94.1 | 96.9 [94.2, 99.6] |
1.01–2.00 mm | 934 (48.9%) | 93.9 | 93.0 [90.7, 95.3] | 86.6 | 84.2 [81.3, ,87.1] |
2.01–4.00 mm | 565 (29.6%) | 86.2 | 82.8 [78.7, 86.9] | 71.9 | 64.2 [59.7, 68.7] |
>4 mm | 222 (11.6%) | 77.9 | 68.3 [60.1, 76.5] | 61.7 | 55.3 [47.1, 63.5] |
Ulceration | P<0.0001 | P<0.001 | |||
absent | 1094 (68.2%) | 93.3 | 93.2 [91.3, 95.1] | 87.3 | 86.2 [83.9, 88.5] |
present | 511 (31.8%) | 83.0 | 75.8 [70.9, 80.7] | 66.9 | 57.7 [52.5, 62.9] |
Body site | P<0.0001 | P<0.001 | |||
Head and Neck | 231 (12.1%) | 91.3 | 88.7 [83.0, 94.4] | 79.1 | 75.5 [68.5, 82.6] |
Trunk | 729 (38.2%) | 87.0 | 84.3 [81.0, 87.6] | 78.1 | 74.1 [66.3, 78.0] |
Upper limb | 343 (18.0%) | 97.1 | 95.6 [92.7, 98.5] | 91.3 | 89.2 [85.1, 93.3] |
Lower limb | 606 (31.7%) | 89.3 | 88.7 [85.6, 91.8] | 76.4 | 72.6 [68.5, 76.7] |
AJCC Stage | p<0.001 | p<0.001 | |||
I A | 90 (5.3%) | 100.0 | 100.0 | 95.2 | 97.2 [95.2, 99.2] |
I B | 824 (43.2%) | 96.0 | 96.2 [94.4, 98.0] | 90.9 | 90.3 [89.0, 91.6] |
II A | 434 (22.7%) | 90.6 | 87.0 [82.9, 91.1] | 80.6 | 75.4 [72.9, 77.9] |
II B | 260 (13.6%) | 83.8 | 78.1 [71.2, 85.0] | 67.7 | 58.2 [54.2, 62.2] |
II C | 87 (4.6%) | 80.5 | 72.6 [59.5, 83.9] | 59.8 | 50.7 [43.0, 58.4] |
III A | 119 (6.2%) | 73.1 | 72.6 [62.8, 82.4] | 53.8 | 45.9 [40.4, 51.4] |
III B | 95 (5.0%) | 73.7 | 65.6 [53.4, 77.8] | 54.7 | 44.9 [38.7, 51.1] |
Age | P = 0.035 | P = 0.001 | |||
< = 45-year | 531 (27.8%) | 92.1 | 92.0 [89.3, 94.7] | 84.0 | 82.6 [78.9, 86.3] |
46–60 years | 529 (27.7%) | 87.7 | 86.3 [82.8, 89.8] | 78.8 | 76.8 [72.7, 80.9] |
61–70 years | 454 (23.8%) | 88.1 | 85.0 [80.7, 89.3] | 78.0 | 73.7 [68.8, 78.6] |
>70 years | 395 (20.7%) | 92.7 | 88.0 [83.1, 92.9] | 79.0 | 70.2 [64.1, 76.3] |
Gender | P = 0.068 | P = 0.135 | |||
Male | 1012 (53.0%) | 88.8 | 86.2 [79.6, 93.0] | 78.8 | 74.6 [74.5, 77.9] |
Female | 897(47.0%) | 91.4 | 89.5 [87.0, 92.0] | 81.6 | 78.0 [74.7, 81.3] |
Clark-Level | P<0.0001 | P<0.001 | |||
Level II | 12 (0.7%) | 100.0 | 100.0 | 91.7 | 85.7 [80.7, 88.2] |
Level III | 209 (12.6%) | 95.7 | 93.1 [91.0, 95.1] | 89.0 | 88.2 [83.3, 93.1] |
Level IV | 1350 (81.4%) | 90.8 | 89.1 [88.0, 90.2] | 80.6 | 76.9 [76.8, 79.6] |
Level V | 88 (5.3%) | 75.0 | 82.3 [79.1, 85.5] | 60.2 | 55.1 [43.0, 67.2] |
Histological Subtype | P<0.001 | P<0.001 | |||
SSM | 993 (54.6%) | 90.2 | 91.0 [89.9, 92.1] | 82.6 | 80.6 [79.5, 81.7] |
NM | 437(24.0%) | 86.2 | 82.9 [79.7, 82.3] | 74.8 | 69.1 [66.4, 71.8] |
LMM | 81 (4.5%) | 96.3 | 95.2 [69.5, 79.1] | 88.9 | 86.2 [81.4, 91.0] |
ALM | 150 (8.2%) | 81.3 | 74.3 [92.5, 97.9] | 65.3 | 56.2 [51.2, 61.7] |
Other | 158 (8.7%) | 95.6 | 93.2 [87.9, 98.5] | 89.2 | 83.8 [76.2, 91.4] |
SLNB status | P<0.001 | P<0.001 | |||
negative | 1697 (88.9%) | 92.0 | 90.3 [88.5, 92.1] | 83.3 | 80.6 [78.2, 83.0] |
positive | 212 (11.1%) | 74.5 | 70.9 [63.3, 78.5] | 54.2 | 46.0 [38.0, 54.1] |
SD = Standard Deviation; IQR = Inter-Quartile Range; SSM = superficial spreading melanoma, NM = nodular melanoma, LMM = lentigious malignant melanoma, ALM = Acral lentigious melanoma; AJCC = American Joint Committee of Cancer.