Melanoma 10 años luego...

Buenas, este es un estudio interesante donde pacientes que tuvieron melanomas no agresivos, pero con ciertas caracteristicas de riesgo, presentaron recurrencias, inclusive 10 años despues.

Mi afan no es asustar, si no llamar la atencion, de que el seguimiento de algunos pacientes con melanoma, debe ser constante, vigilante y de por vida.

• Among a cohort of 1372 patients with stage I/II melanoma who were disease-free at 10 years after original diagnosis, metastasis subsequently occurred in 6% (n = 72). The most common sites of metastasis were regional lymph nodes (n = 33), in-transit skin metastases (n = 21), brain (n = 6), and lung (n = 6). Risk factors for late relapse on multivariate analysis were age <40 data-blogger-escaped-1.65="" data-blogger-escaped-breslow="" data-blogger-escaped-thickness="" data-blogger-escaped-years="">2 mm (HR, 2.1), and Clark's level IV/V (HR, 2.1).

• The authors conclude that physicians should monitor these patients for 10 years, paying special attention to lymph nodes, brain, and lung as common sites for relapse.

Richard Bambury, MDInternational Journal of Cancer

Risk Factors Related to Late Metastases in 1372 Melanoma Patients Disease Free More Than 10 Years

Int. J. Cancer 2014 Oct 30;[EPub Ahead of Print], S Osella-Abate, S Ribero, M Sanlorenzo, MM Maule, L Richiardi, F Merletti, C Tomasini, E Marra, G Macripò, MT Fierro, P Quaglino

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

Benjamin Hidalgo-Matlock

Skin Care Physicians of Costa Rica

4000-1054

2208-8206