Clinical investigation of 38 cases of oral mucosal melanoma: A multicentre retrospective analysis in Japan

Shin Ichi Yamada*, Hiroshi Kurita, Takahiro Kamata, Tadaaki Kirita, Michihiro Ueda, Tetsuro Yamashita, Yoshihide Ota, Mitsunobu Otsuru, Nobuhiro Yamakawa, Masaya Okura, Tomonao Aikawa, Souichi Yanamoto, Masahiro Umeda

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

7 Scopus citations

Abstract

Background/Objectives: The aim of the present study was to investigate treatment modalities and outcomes in oral mucosal melanoma. Methods: The clinical and pathological data of 38 consecutive patients with oral mucosal melanoma were retrospectively analyzed. Patients' characteristics were analyzed and overall survival (OS) rates were calculated. Results: Sixteen patients had stage III (42%), 19 IVA (50%), and three had stage IVC (8%) disease. Among the therapeutic approaches used, 31 patients (82%) received radical therapy (surgery +/− chemotherapy). The 5-year OS rate was 40%. Five-year OS rates according to the clinical stage were 71% for stage III, 24% for stage IVA, and 0% for stage IVC. Five-year OS rates according to therapeutic approaches were 52% in the radical therapy group and 0% in the palliative therapy and best supportive care groups. Conclusions: The results of this multicentre retrospective analysis of patients with oral mucosal melanoma suggest that radical therapy based on surgical treatments with complete surgical excision with clear margins leads to a better prognosis.

Original languageEnglish
Pages (from-to)e223-e227
JournalAustralasian Journal of Dermatology
Volume58
Issue number4
DOIs
StatePublished - 2017/11

Keywords

  • mucosal melanoma
  • oral cavity
  • prognosis
  • survival analysis
  • treatment outcome

ASJC Scopus subject areas

  • Dermatology

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