Table II.
Survival estimates and risk of death by tumor thickness, ulceration, nodal involvement, and stage of non-Hispanic white patients with melanoma from the California Cancer Registry (2004–2013)
|
Survival estimate | ||||||||||||||
|
Tumor classification |
12 mo |
24 mo |
36 mo |
60 mo |
||||||||||
| Characteristic | n | % | Survival estimate | 95% CI | Survival estimate | 95% CI | Survival estimate | 95% CI | Survival estimate | 95% CI | ||||
| <0.8 mm | 28,110 | 87.9 | 98.1% | 97.9% | 98.2% | 95.9% | 95.6% | 96.1% | 93.7% | 93.4% | 94.0% | 89.0% | 88.5% | 89.4% |
| 0.8-1.0 mm | 3855 | 12.1 | 97.5% | 96.9% | 98.0% | 94.6% | 93.8% | 95.3% | 91.6% | 90.6% | 92.5% | 86.3% | 84.9% | 87.6% |
| ≤1.0 | 31,965 | 74.3 | 98.0% | 97.8% | 98.1% | 95.7% | 95.4% | 95.9% | 93.4% | 93.1% | 93.7% | 88.6% | 88.2% | 89.0% |
| Nonulcerated | 30,873 | 71.8 | 98.2% | 98.0% | 98.3% | 96.1% | 95.8% | 96.3% | 93.9% | 93.6% | 94.2% | 89.1% | 88.6% | 89.5% |
| Without nodal involvement | 29,877 | 69.5 | 98.3% | 98.1% | 98.4% | 96.2% | 96.0% | 96.5% | 94.1% | 93.8% | 94.4% | 89.3% | 88.9% | 89.8% |
| With nodal involvement | 297 | 0.7 | 91.5% | 87.5% | 94.3% | 80.6% | 75.0% | 85.0% | 73.7% | 67.4% | 79.0% | 66.7% | 59.6% | 72.9% |
| With unknown nodal involvement | 699 | 1.6 | 97.4% | 95.9% | 98.4% | 94.9% | 92.9% | 96.4% | 92.4% | 89.9% | 94.3% | 87.6% | 83.9% | 90.5% |
| Ulcerated | 1092 | 2.5 | 92.5% | 90.6% | 93.9% | 85.2% | 82.8% | 87.4% | 81.7% | 78.9% | 84.1% | 75.5% | 72.1% | 78.5% |
| Without nodal involvement | 960 | 2.2 | 94.1% | 92.3% | 95.5% | 88.7% | 86.3% | 90.7% | 85.3% | 82.6% | 87.7% | 78.8% | 75.4% | 81.8% |
| With nodal involvement | 111 | 0.3 | 79.8% | 70.6% | 86.3% | 57.9% | 46.8% | 67.5% | 50.8% | 39.1% | 61.3% | — | — | — |
| Staged tumors | ||||||||||||||
| Stage IIA | 3347 | 7.8 | 94.5% | 93.7% | 95.3% | 87.8% | 86.5% | 88.9% | 80.3% | 78.8% | 81.8% | 69.5% | 67.5% | 71.4% |
| Stage IIB | 2350 | 5.5 | 92.7% | 91.5% | 93.7% | 81.8% | 80.0% | 83.4% | 72.2% | 70.0% | 74.2% | 58.6% | 56.0% | 61.1% |
| Stage III | 3137 | 7.3 | 89.6% | 88.4% | 90.6% | 74.3% | 72.6% | 76.0% | 64.3% | 62.4% | 66.2% | 53.9% | 51.7% | 56.0% |
| Stage IV | 2209 | 5.1 | 39.1% | 37.0% | 41.2% | 25.5% | 23.5% | 27.5% | 19.1% | 17.3% | 21.0% | 14.9% | 13.1% | 16.8% |
|
All-cause and melanoma-specific risk of death | ||||||||||||||
|
Tumor characteristics |
All-cause risk of death |
Melanoma-specific risk of death |
||||||||||||
| n | % | HRc | 95% CI | HRa | 95% CI | HRc | 95% CI | HRa | 95% CI | |||||
| <1 mm, not ulcerated | 30,872 | 71.6 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| <1 mm, ulcerated | 1092 | 2.5 | 2.54 | 2.22 | 2.92 | 2.27 | 1.97 | 2.61 | 7.89 | 6.23 | 10.0 | 7.45 | 5.84 | 9.51 |
| Stage IIA | 3446 | 8.0 | 3.00 | 2.78 | 3.24 | 2.46 | 2.26 | 2.66 | 7.06 | 6.00 | 8.31 | 6.67 | 5.64 | 7.88 |
| Stage IIB | 2350 | 5.5 | 4.38 | 4.05 | 4.75 | 3.31 | 3.04 | 3.60 | 13.14 | 11.25 | 15.34 | 11.56 | 9.83 | 13.59 |
| Stage III | 3137 | 7.3 | 5.17 | 4.82 | 5.54 | 5.31 | 4.93 | 5.72 | 27.23 | 24.00 | 30.90 | 26.52 | 23.23 | 30.29 |
| Stage IV | 2207 | 5.1 | 25.43 | 23.89 | 27.06 | 22.36 | 20.89 | 23.94 | 127.07 | 112.50 | 143.52 | 113.53 | 99.65 | 129.34 |
|
Thin melanomas |
||||||||||||||
| n | % | HRc | 95% CI | HRa | 95% CI | HRc | 95% CI | HRa | 95% CI | |||||
| <1 mm, not ulcerated | ||||||||||||||
| Without nodal invasion | 29,876 | 93.5 | 1.00 | 1.00 | 1.00 | 1.00 | ||||||||
| With nodal invasion | 297 | 0.9 | 3.67 | 2.92 | 4.62 | 4.55 | 3.60 | 5.76 | 20.33 | 14.90 | 27.75 | 19.83 | 14.24 | 27.60 |
| With unknown nodal invasion | 699 | 2.2 | 1.25 | 0.98 | 1.59 | 1.14 | 0.89 | 1.46 | 1.79 | 0.98 | 3.26 | 1.72 | 0.91 | 3.24 |
| <1 mm, ulcerated | ||||||||||||||
| Without nodal invasion | 960 | 3.0 | 2.19 | 1.87 | 2.56 | 1.88 | 1.60 | 2.20 | 6.82 | 5.13 | 9.06 | 6.14 | 4.58 | 8.23 |
| With nodal invasion | 111 | 0.3 | 9.04 | 6.71 | 12.19 | 10.07 | 7.33 | 13.83 | 43.62 | 28.72 | 66.25 | 45.64 | 29.22 | 71.30 |
| With unknown nodal invasion | 21 | 0.1 | 5.32 | 2.53 | 11.17 | 6.76 | 3.22 | 14.23 | 27.92 | 10.41 | 74.91 | 32.07 | 11.90 | 86.39 |
Cl, Confidence interval; HRa,fully adjusted hazard ratio (adjusted for sex. age at diagnosis, socioeconomic status, histology, chemotherapy, immunotherapy, sentinel lymph node biopsy,and year of diagnosis; HRc, crude hazard ratio