Table 1. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for the associations between MC1R variants and histopathological tumor characteristics among first incident cases of invasive melanoma in the GEM Study.
Consensus | Only r 1 | One R 2 | >1 R 2 | Only r 1 vs. consensus | One R 2 vs. consensus | >1 R 2 vs. consensus | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Tumor characteristic | n | %* | n | %* | n | %* | n | %* | OR 3 | 95% CI | OR 3 | 95% CI | OR 3 | 95% CI | |
Breslow thickness (mm) | |||||||||||||||
0.01–1.00 | 251 | 18 | 464 | 33 | 562 | 40 | 136 | 10 | 1.00 | 1.00 | 1.00 | ||||
1.01–2.00 | 60 | 14 | 141 | 33 | 181 | 43 | 42 | 10 | 1.21 | 0.85–1.72 | 1.34 | 0.95–1.90 | 1.38 | 0.83–2.28 | |
>2.00 | 49 | 17 | 103 | 33 | 107 | 37 | 32 | 11 | 1.12 | 0.75–1.65 | 0.94 | 0.63–1.39 | 1.02 | 0.58–1.79 | |
p = 0.45 | |||||||||||||||
Mitoses | |||||||||||||||
Absent | 173 | 17 | 315 | 32 | 408 | 41 | 96 | 10 | 1.00 | 1.00 | 1.00 | ||||
Present | 120 | 16 | 260 | 35 | 293 | 39 | 81 | 11 | 1.06 | 0.79–1.43 | 1.01 | 0.76–1.36 | 1.16 | 0.76–1.78 | |
p = 0.56 | |||||||||||||||
Ulceration | |||||||||||||||
Absent | 267 | 17 | 526 | 33 | 636 | 40 | 158 | 10 | 1.00 | 1.00 | 1.00 | ||||
Present | 26 | 17 | 47 | 31 | 61 | 40 | 18 | 12 | 0.81 | 0.48–1.37 | 0.99 | 0.59–1.64 | 1.38 | 0.67–2.85 | |
p = 0.85 | |||||||||||||||
Tumor infiltrating lymphocytes † | |||||||||||||||
Absent | 59 | 15 | 126 | 33 | 156 | 41 | 43 | 11 | 1.00 | 1.00 | 1.00 | ||||
Non-brisk | 197 | 18 | 367 | 33 | 439 | 39 | 112 | 10 | 0.89 | 0.61–1.30 | 0.93 | 0.64–1.34 | 1.09 | 0.63–1.87 | |
Brisk | 34 | 15 | 79 | 34 | 100 | 43 | 21 | 9 | 1.07 | 0.63–1.82 | 1.09 | 0.65–1.84 | 0.93 | 0.43–2.02 | |
p = 0.81 | |||||||||||||||
Anatomic location | |||||||||||||||
Trunk or pelvis | 158 | 17 | 323 | 34 | 402 | 42 | 73 | 8 | 1.00 | 1.00 | 1.00 | ||||
Head or neck | 59 | 18 | 123 | 36 | 131 | 39 | 25 | 7 | 1.11 | 0.75–1.63 | 0.85 | 0.58–1.25 | 0.89 | 0.48–1.65 | |
Arms | 55 | 14 | 137 | 34 | 157 | 39 | 56 | 14 | 1.30 | 0.88–1.92 | 1.13 | 0.77–1.66 | 2.39 | 1.40–4.09 | |
Legs | 93 | 20 | 138 | 30 | 174 | 38 | 56 | 12 | 0.85 | 0.60–1.22 | 0.80 | 0.56–1.13 | 1.42 | 0.84–2.41 | |
p = 0.002 | |||||||||||||||
Clark level | |||||||||||||||
II | 120 | 17 | 234 | 33 | 294 | 41 | 73 | 10 | 1.00 | 1.00 | 1.00 | ||||
III | 94 | 20 | 154 | 32 | 182 | 38 | 48 | 10 | 0.79 | 0.56–1.12 | 0.74 | 0.53–1.05 | 0.72 | 0.43–1.21 | |
IV & V | 79 | 15 | 185 | 34 | 222 | 41 | 56 | 10 | 1.28 | 0.88–1.86 | 1.36 | 0.94–1.96 | 1.36 | 0.80–2.30 | |
p = 0.59 | |||||||||||||||
Coexisting nevus | |||||||||||||||
None identified | 231 | 18 | 442 | 33 | 524 | 40 | 125 | 10 | 1.00 | 1.00 | 1.00 | ||||
Common acquired | 28 | 12 | 77 | 32 | 102 | 42 | 37 | 15 | 1.33 | 0.83–2.14 | 1.38 | 0.86–2.19 | 1.61 | 0.87–2.97 | |
Dysplastic | 35 | 17 | 67 | 32 | 89 | 43 | 17 | 8 | 0.87 | 0.54–1.38 | 0.98 | 0.62–1.54 | 0.96 | 0.48–1.93 | |
Congenital | 8 | 24 | 11 | 33 | 11 | 33 | 3 | 9 | 0.81 | 0.30–2.20 | 0.83 | 0.30–2.26 | 0.65 | 0.14–2.99 | |
p = 0.16 | |||||||||||||||
Histological type | |||||||||||||||
Superficial spreading | 267 | 18 | 472 | 32 | 577 | 40 | 146 | 10 | 1.00 | 1.00 | 1.00 | ||||
Nodular | 21 | 12 | 67 | 37 | 74 | 40 | 21 | 12 | 1.61 | 0.98–2.74 | 1.45 | 0.85–2.45 | 1.58 | 0.77–3.26 | |
Lentigo maligna | 34 | 17 | 66 | 33 | 80 | 40 | 18 | 9 | 1.16 | 0.72–1.88 | 1.11 | 0.69–1.78 | 0.91 | 0.44–1.89 | |
Not otherwise specified | 40 | 15 | 98 | 36 | 112 | 42 | 19 | 7 | 1.41 | 0.91–2.19 | 1.25 | 0.81–1.94 | 0.89 | 0.45–1.78 | |
p = 0.28 | |||||||||||||||
Pigmentation | |||||||||||||||
Present | 280 | 17 | 545 | 33 | 665 | 40 | 161 | 10 | 1.00 | 1.00 | 1.00 | ||||
Absent | 22 | 14 | 53 | 33 | 67 | 41 | 21 | 13 | 1.23 | 0.71–2.15 | 1.17 | 0.68–2.02 | 1.37 | 0.66–2.86 | |
p = 0.54 | |||||||||||||||
Regression | |||||||||||||||
Absent | 201 | 16 | 410 | 33 | 488 | 40 | 130 | 11 | 1.00 | 1.00 | 1.00 | ||||
Present | 101 | 17 | 190 | 33 | 241 | 41 | 52 | 9 | 1.10 | 0.79–1.54 | 1.19 | 0.86–1.65 | 0.95 | 0.58–1.56 | |
p = 0.73 | |||||||||||||||
Satellite | |||||||||||||||
Absent | 199 | 18 | 374 | 33 | 437 | 39 | 113 | 10 | 1.00 | 1.00 | 1.00 | ||||
Present | 1 | 8 | 6 | 50 | 3 | 25 | 2 | 17 | 2.30 | 0.26–20.15 | 0.77 | 0.07–8.80 | 1.36 | 0.07–26.83 | |
p = 0.57 | |||||||||||||||
Solar elastosis | |||||||||||||||
Absent | 105 | 17 | 206 | 33 | 263 | 42 | 60 | 10 | 1.00 | 1.00 | 1.00 | ||||
Present | 194 | 17 | 378 | 33 | 453 | 40 | 119 | 10 | 1.08 | 0.76–1.52 | 1.02 | 0.73–1.43 | 1.30 | 0.79–2.14 | |
p = 0.79 | |||||||||||||||
Vertical growth phase | |||||||||||||||
Absent | 106 | 17 | 207 | 33 | 249 | 40 | 60 | 10 | 1.00 | 1.00 | 1.00 | ||||
Present | 185 | 17 | 364 | 33 | 450 | 40 | 117 | 11 | 1.03 | 0.75–1.41 | 1.07 | 0.79–1.46 | 1.15 | 0.73–1.83 | |
p = 0.77 |
* Row percentages are presented
† Potential prognostic factor based on Thomas et al., J Clin Oncology, 2013. Vol. 33, Num. 33: 4252–59
1 r indicates carriage of V60L, V92M, I115T, R163Q, or rare nonsynonymous variants in the absence of a R variant.
2 R indicates carriage of D84E, R142H, R151C, R160W, D294H, nonsense or insertion/deletion variants.
3 ORs are adjusted for center, sex, age at melanoma diagnosis, phenotypic index, and total body mole density