TY - JOUR
T1 - Satellite and In-Transit Metastatic Disease in Melanoma Skin Cancer
T2 - A Retrospective Review of Disease Presentation, Treatment, and Outcomes
AU - Bann, Darrin V.
AU - Chaikhoutdinov, Irina
AU - Zhu, Junjia
AU - Andrews, Genevieve A.
PY - 2019/3/1
Y1 - 2019/3/1
N2 - BACKGROUND Satellitosis and in-transit metastases (SITM) are uncommon in cutaneous melanoma and are associated with poor prognosis. However, the disease- and treatment-specific variables that predict outcomes among patients with SITM are poorly defined.OBJECTIVETo identify factors that predict prognosis among patients with SITM.MATERIALS AND METHODSRetrospective chart review of patients treated for melanoma at a large academic medical center in central Pennsylvania between 2000 and 2012. Patients with pathology reports containing "satellite lesions" or "in-transit metastases" were selected for analysis. Data were collected regarding tumor stage, the timing of SITM discovery, treatment, recurrence-free survival after SITM discovery, and overall survival (OS).RESULTSWe identified SITM in 32 (1.9%) of 1,650 patients with pathology-diagnosed melanoma over the study period. Reduced recurrence-free survival after SITM discovery was associated with higher pathologic stage, metastatic disease, lymph node dissection, and use of adjuvant chemotherapy. Reduced OS was associated with higher T, N, M, and overall prognostic stage; positive surgical margins; disease recurrence; and SITM on initial presentation.CONCLUSIONOur data support previous findings that higher stage disease confers a worse prognosis among patients with SITM. Patients with SITM on initial presentation had worse outcomes, suggesting SITM is indicative of more aggressive disease.
AB - BACKGROUND Satellitosis and in-transit metastases (SITM) are uncommon in cutaneous melanoma and are associated with poor prognosis. However, the disease- and treatment-specific variables that predict outcomes among patients with SITM are poorly defined.OBJECTIVETo identify factors that predict prognosis among patients with SITM.MATERIALS AND METHODSRetrospective chart review of patients treated for melanoma at a large academic medical center in central Pennsylvania between 2000 and 2012. Patients with pathology reports containing "satellite lesions" or "in-transit metastases" were selected for analysis. Data were collected regarding tumor stage, the timing of SITM discovery, treatment, recurrence-free survival after SITM discovery, and overall survival (OS).RESULTSWe identified SITM in 32 (1.9%) of 1,650 patients with pathology-diagnosed melanoma over the study period. Reduced recurrence-free survival after SITM discovery was associated with higher pathologic stage, metastatic disease, lymph node dissection, and use of adjuvant chemotherapy. Reduced OS was associated with higher T, N, M, and overall prognostic stage; positive surgical margins; disease recurrence; and SITM on initial presentation.CONCLUSIONOur data support previous findings that higher stage disease confers a worse prognosis among patients with SITM. Patients with SITM on initial presentation had worse outcomes, suggesting SITM is indicative of more aggressive disease.
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U2 - 10.1097/DSS.0000000000001643
DO - 10.1097/DSS.0000000000001643
M3 - Article
C2 - 30681423
AN - SCOPUS:85062721194
SN - 1076-0512
VL - 45
SP - 371
EP - 380
JO - Dermatologic Surgery
JF - Dermatologic Surgery
IS - 3
ER -