Table 2. RRR describing clinical and pathological correlates of BRAF mutation estimated in univariate and multivariate multinomial regression analyses.
BRAF mutant vs BRAF/NRAS wild-typea | BRAF mutant vs NRAS mutantb | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Univariate analysis |
Multivariate analysis |
Univariate analysis |
Multivariate analysis |
|||||||||
Clinicopathological variable | RRR | 95% CI | P-value | RRR | 95% CI | P-value | RRR | 95% CI | P-value | RRR | 95% CI | P-value |
Patient sex | ||||||||||||
Male | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
Female | 1.45 | 1.09–1.92 | 0.01 | 1.21 | 0.88–1.67 | 0.24 | 1.21 | 0.87–1.69 | 0.3 | 1.30 | 0.89–1.91 | 0.18 |
Patient age | ||||||||||||
<50 years | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
⩾50 years | 0.40 | 0.30–0.55 | <0.001 | 0.48 | 0.34–0.67 | <0.001 | 0.28 | 0.18–0.42 | <0.001 | 0.29 | 0.19–0.45 | <0.001 |
Anatomical location | ||||||||||||
Head & neck | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
Trunk | 2.39 | 1.65–3.47 | <0.001 | 2.14 | 1.41–3.24 | <0.001 | 0.92 | 0.54–1.55 | 0.8 | 0.77 | 0.43–1.36 | 0.4 |
Upper extremity | 1.16 | 0.78–1.73 | 0.5 | 1.06 | 0.68–1.66 | 0.8 | 0.42 | 0.24–0.72 | 0.002 | 0.38 | 0.21–0.69 | 0.002 |
Lower extremity | 2.11 | 1.37–3.26 | 0.001 | 1.66 | 1.02–2.71 | 0.04 | 0.56 | 0.32–0.98 | 0.04 | 0.41 | 0.22–0.77 | 0.005 |
Breslow thickness | ||||||||||||
<1.0 mm | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
1.00–2.0 mm | 1.66 | 1.15–2.40 | 0.007 | 1.69 | 1.12–2.53 | 0.011 | 0.42 | 0.27–0.67 | <0.001 | 0.36 | 0.22–0.59 | <0.001 |
2.01–4.0 mm | 1.02 | 0.71–1.47 | 0.9 | 1.23 | 0.80–1.88 | 0.3 | 0.39 | 0.24–0.62 | <0.001 | 0.39 | 0.23–0.66 | <0.001 |
>4.0 mm | 1.03 | 0.68–1.56 | 0.9 | 1.39 | 0.83–2.35 | 0.22 | 0.59 | 0.34–1.05 | 0.07 | 0.58 | 0.31–1.13 | 0.11 |
Histologic subtype | ||||||||||||
SSM | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
NM | 0.78 | 0.56–1.07 | 0.13 | 0.88 | 0.60–1.31 | 0.5 | 0.82 | 0.56–1.19 | 0.3 | 1.15 | 0.75–1.78 | 0.5 |
LMM | 0.19 | 0.10–0.35 | <0.001 | 0.33 | 0.17–0.65 | 0.001 | 1.01 | 0.36–2.87 | 1.0 | 1.18 | 0.40–3.49 | 0.8 |
Mitotic rate (n/mm2) | ||||||||||||
<5 | 1.00 | 1.00 | ||||||||||
5–9 | 1.15 | 0.79–1.67 | 0.5 | 0.73 | 0.48–1.10 | 0.13 | ||||||
⩾10 | 1.03 | 0.70–1.52 | 0.9 | 0.87 | 0.55–1.38 | 0.6 | ||||||
Ulceration | ||||||||||||
No | 1.00 | 1.00 | ||||||||||
Yes | 1.20 | 0.88–1.64 | 0.3 | 0.92 | 0.64–1.32 | 0.7 |
Abbreviations: CI=confidence interval; LMM=lentigo maligna melanoma; NM=nodular melanoma; RRR=relative risk ratio; SSM=superficial spreading melanoma.
BRAF/NRAS wild-type as the reference category.
NRAS mutant as the reference category.
Multivariate analysis adjusted for patient sex, patient age, anatomical location of the primary tumour, Breslow thickness and histologic subtype. Mitotic rate and ulceration were excluded as there were not found to be associated with mutation status in univariate analyses.