Table II.
Differences between melanoma risk factors in female and male patients (sex- and age-matched dataset, n=278).
Female | Male | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Female | Male | With metastasis | Without metastasis | With metastasis | Without metastasis | |||||||||||||
Risk factor | N | % | N | % | OR (95% CI) | P-valuea | N | % | N | % | OR (95% CI) | P-valuea | N | % | N | % | OR (95% CI) | P-valuea |
Tumor localization | ||||||||||||||||||
Head and neck | 40 | 12.2 | 29 | 12.7 | <0.001 | 15 | 9.1 | 25 | 15.3 | 0.401 | 13 | 11.4 | 16 | 14.0 | 0.902 | |||
Limbs | 155 | 47.3 | 62 | 27.2 | 80 | 48.8 | 75 | 45.7 | 33 | 29.0 | 29 | 25.5 | ||||||
Trunk | 113 | 34.4 | 119 | 52.2 | 58 | 35.4 | 55 | 33.5 | 59 | 51.7 | 60 | 52.6 | ||||||
Hands and feetd | 20 | 6.1 | 18 | 7.9 | 11 | 6.7 | 9 | 5.5 | 9 | 7.9 | 9 | 7.9 | ||||||
Totale | 328 | 100.0 | 228 | 100.0 | 164 | 100.0 | 164 | 100.0 | 114 | 100.0 | 114 | 100.0 | ||||||
CM subtype | ||||||||||||||||||
Superficial spreading melanoma | 15 | 16.3 | 8 | 15.4 | 0.693c | 10 | 21.7 | 5 | 10.9 | 0.191c | 5 | 19.2 | 3 | 11.5 | 0.465c | |||
Nodular melanoma | 72 | 78.3 | 43 | 82.7 | 35 | 76.1 | 37 | 80.4 | 20 | 76.9 | 23 | 88.5 | ||||||
Lentigo malignant melanoma | 5 | 5.4 | 1 | 1.9 | 1 | 2.2 | 4 | 8.7 | 1 | 3.9 | 0 | 0.0 | ||||||
Totale | 92 | 100.0 | 52 | 100.0 | 46 | 100.0 | 46 | 100.0 | 26 | 100.0 | 26 | 100.0 | ||||||
Breslow thickness, mm | ||||||||||||||||||
Mean ± SD | 4.95±6.33 | 4.11±4.31 | 0.479b | 5.66±6.86 | 4.24±5.70 | 0.013b | 4.53±4.93 | 3.70±3.56 | 0.435b | |||||||||
Median | 3.0 | 3.0 | 4.0 | 2.0 | 3.0 | 3.0 | ||||||||||||
≤1.0 | 64 | 24.8 | 45 | 26.2 | 0.325 | 32 | 24.8 | 32 | 24.8 | 0.001 | 22 | 25.6 | 23 | 26.7 | 0.907 | |||
1.0-2.0 | 45 | 17.5 | 27 | 15.7 | 11 | 8.5 | 34 | 26.4 | 12 | 14.0 | 15 | 17.5 | ||||||
2.0-4.0 | 56 | 21.7 | 49 | 28.5 | 30 | 23.3 | 26 | 20.1 | 25 | 29.1 | 24 | 27.9 | ||||||
>4.0 | 93 | 36.0 | 51 | 29.6 | 56 | 43.4 | 37 | 28.7 | 27 | 31.3 | 24 | 27.9 | ||||||
Totale | 258 | 100.0 | 172 | 100.0 | 129 | 100.0 | 129 | 100.0 | 86 | 100.0 | 86 | 100.0 | ||||||
Ulceration | ||||||||||||||||||
Absent | 78 | 40.2 | 64 | 50.0 | Ref | 31 | 32.0 | 47 | 48.5 | Ref | 30 | 46.9 | 34 | 53.1 | Ref | |||
Present | 116 | 59.8 | 64 | 50.0 | 0.67 (0.43-1.05) | 0.106 | 66 | 68.0 | 50 | 51.5 | 2.00 (1.12-3.59) | 0.028 | 34 | 53.1 | 30 | 46.9 | 1.28 (0.64-2.57) | 0.596 |
Totale | 194 | 100.0 | 128 | 100.0 | 97 | 100.0 | 97 | 100.0 | 64 | 100.0 | 64 | 100.0 | ||||||
Pigment | ||||||||||||||||||
Present | 237 | 90.5 | 167 | 90.8 | Ref | 112 | 85.5 | 125 | 95.4 | Ref | 83 | 90.2 | 84 | 91.3 | Ref | |||
Absent | 25 | 9.5 | 17 | 9.2 | 0.97 (0.51-1.84) | 1.000c | 19 | 14.5 | 6 | 4.6 | 3.53 (1.36-9.16) | 0.010c | 9 | 9.8 | 8 | 8.7 | 1.14 (0.42-3.09) | 1.000c |
Totale | 262 | 100.0 | 184 | 100.0 | 131 | 100.0 | 131 | 100.0 | 92 | 100.0 | 92 | 100.0 | ||||||
Predominant cell type in the lesion | ||||||||||||||||||
Epithelial | 130 | 63.7 | 109 | 70.8 | 0.236 | 64 | 62.7 | 66 | 64.7 | 0.174 | 57 | 74.0 | 52 | 67.5 | 0.518 | |||
Spindle | 31 | 15.2 | 23 | 14.9 | 12 | 11.8 | 19 | 18.6 | 9 | 11.7 | 14 | 18.2 | ||||||
Mixed | 43 | 21.1 | 22 | 14.3 | 26 | 25.5 | 17 | 16.7 | 11 | 14.3 | 11 | 14.3 | ||||||
Totale | 204 | 100.0 | 154 | 100.0 | 102 | 100.0 | 102 | 100.0 | 77 | 100.0 | 77 | 100.0 | ||||||
BMI | ||||||||||||||||||
Mean ± SD | 28.5±6.27 | 28.3±4.84 | 0.810b | 28.9±6.10 | 28.0±6.44 | 0.224b | 28.2±4.63 | 28.4±5.09 | 0.598b | |||||||||
Median | 27.4 | 27.9 | 27.9 | 27.1 | 26.9 | 27.9 | ||||||||||||
18.01-25.00 | 56 | 31.5 | 28 | 23.7 | 0.054 | 25 | 28.1 | 31 | 34.8 | 0.593 | 15 | 25.4 | 13 | 22.0 | 0.718 | |||
25.01-30.00 | 57 | 32.0 | 54 | 45.8 | 29 | 32.6 | 28 | 31.5 | 28 | 47.5 | 26 | 44.1 | ||||||
>30.01 | 65 | 36.5 | 36 | 30.5 | 35 | 39.3 | 30 | 33.7 | 16 | 27.1 | 20 | 33.9 | ||||||
Totale | 178 | 100.0 | 118 | 100.0 | 89 | 100.0 | 89 | 100.0 | 59 | 100.0 | 59 | 100.0 |
P-values were obtained by the χ2 test unless indicated otherwise.
Mann-Whitney test.
Fisher's exact test.
Acral lentiginous melanomas were excluded before analysis.
The number of matched cases in each group; if there was missing information for an individual in one of the groups, the corresponding case-control pair was excluded from the analysis. OR and 95% CI are presented for predictors with two categories.