Table 3. Clinical and histologic characteristics in acral lentigious melanomas.
Characteristic | Total | De novo | Nevus-associated | P-valuea |
---|---|---|---|---|
Age (years) | ||||
<65 | 25 | 24 (96.0%) | 1 (4.0%) | 0.41 |
≥65 | 48 | 42 (87.5%) | 6 (12.5%) | |
Sex | ||||
Female | 34 | 30 (88.2%) | 4 (11.8%) | 0.70 |
Male | 39 | 36 (92.3%) | 3 (7.7%) | |
Thickness of invasive melanomas (n = 63), mm | 0.43 | |||
≤ 1.0 | 11 | 9 (81.8%) | 2 (18.2%) | |
1.01–2.0 | 19 | 17 (89.5%) | 2 (10.5%) | |
2.01–4.0 | 18 | 16 (88.9%) | 2 (11.1%) | |
>4.0 | 15 | 15 (100%) | 0 (0.0%) | |
Mitosis/mm2 | ||||
<1 | 19 | 17 (89.5%) | 2 (10.5%) | |
1–5 | 43 | 40 (93.0%) | 3 (7.0%) | 0.40 |
≥6 | 11 | 9 (81.8%) | 2 (18.2%) | |
Ulceration | ||||
Absent | 50 | 46 (92.0%) | 4 (8.0%) | 0.67 |
Present | 23 | 20 (87.0%) | 3 (13.0%) | |
Sentinel lymph node status | ||||
Negative | 61 | 54 (88.5%) | 7 (11.5%) | 0.59 |
Positive | 12 | 12 (100%) | 0 (0.0%) | |
AJCC Stage | ||||
Tis | 10 | 9 (90.0%) | 1 (10.0%) | |
Stage 1–2 | 49 | 43 (87.8%) | 6 (12.2%) | 0.49 |
Stage 3–4 | 14 | 14 (100%) | 0 (0.0%) | |
Lymphovascular invasion | ||||
Absent | 66 | 59 (89.4%) | 7 (10.6%) | 1.00 |
Present | 7 | 7 (100%) | 0 (0.0%) | |
Desmoplastic component | ||||
Absent | 66 | 59 (89.4%) | 7 (10.6%) | 1.00 |
Present | 7 | 7 (100%) | 0 (0.0%) | |
Neurotropism | ||||
Absent | 60 | 53 (88.3%) | 7 (11.7%) | 0.34 |
Present | 13 | 13 (100%) | 0 (0.0%) | |
Regression | ||||
Absent | 64 | 57 (89.1%) | 7 (10.9%) | 0.59 |
Present | 9 | 9 (100%) | 0 (0.0%) | |
Infiltrating lymphocyte | ||||
Absent | 12 | 12 (100%) | 0 (0%) | |
Non-brisk | 57 | 50 (87.7%) | 7 (12.3%) | 0.56 |
Brisk | 4 | 4 (100%) | 0 (0%) | |
Predominant cell typeb | ||||
Epithelioid | 23 | 18 (78.3%) | 5 (21.7%) | |
Spindle | 5 | 5 (100%) | 0 (0%) | 0.09 |
Mixed | 32 | 31 (96.9%) | 1 (3.1%) |
AJCC, American Joint Committee on Cancer; NM, nodular melanoma; SSM, superficial spreading melanoma
a Comparison by Fisher’s exact test.
b Thirteen cases with unknown predominant cell type excluded for this stratum.