Table 1.
Patient | Age | Sex | Preoperative PCA group | Postoperative PCA group | Primary tumor location | Primary resected | Stage | Active disease (at preoperative blood draw) | Procedure | Largest tumor foci of specimen | Recurrence | Survival |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 52 | M | A | A | Right arm | Yes (2 mo prior) T3a—2.8 mm 0/3 SLNB—right axilla |
IV | Left axilla | Left ALND 9/55 nodes positive |
3 cm | Yes 5 mo |
Dead 35 mo |
2 | 81 | M | B | A | Left shoulder | Yes (1 y prior) T4a—4.6 mm deep 2/2 SLNB—left axilla |
IIIc | Left axilla | Left ALND 5/47 nodes positive |
1.6 cm | Yes 5 mo |
Dead 11 mo |
3 | 71 | F | B | A | Unknown primary | NA | IIIc | Left axilla | Left ALND 5/31 nodes positive |
9.9 cm | Yes 5 mo |
Dead 22 mo |
4 | 71 | F | B | B | Right heel | Yes (5 y prior) T2b—10 mm deep 0/4 SLNB—right inguinal |
IV | Metastatic cutaneous lesion of left groin | WLE of metastatic cutaneous lesion | 3.4 cm | Yes 5 mo |
Dead 24 mo |
5 | 30 | M | A | A | Unknown primary | NA | IV | Abdominal wall | Wide excision of abdominal wall | 4.7 cm | No (18 mo) |
Alive |
6 | 56 | M | A | A | Right calf | Yes (3 y prior) T4b—4.6 mm 0/2 SLNB—right axilla |
IV | Malignant enterocolonic fistula Liver Lung |
Small bowel resection Left hemicolectomy Hepatic wedge resection (Pulmonary metastasis not resected) |
5.5 cm | Remaining distant metastatic disease at time of resection | Dead 30 mo |
Abbreviations: ALND, axillary lymph node dissection; PCA, principal component analysis; SLNB, sentinel lymph node biopsy, expressed as ratio of number of lymph nodes containing microscopic disease relative to the total number of lymph nodes biopsied; WLE, wide local excision; NA, Not applicable (unknown primary).
Six patients undergoing surgical resection of melanoma lesions were classified according to pathologic stage and grouping on PCA before and after surgical resection.