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dc.contributor.author | Tejera Vaquerizo, Antonio |
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dc.contributor.author | Nagore, Eduardo |
dc.contributor.author | Puig i Sardà, Susana |
dc.contributor.author | Robert, Caroline |
dc.contributor.author | Saiag, Philippe |
dc.contributor.author | Martín-Cuevas, Paula |
dc.contributor.author | Gallego, Elena |
dc.contributor.author | Herrera Acosta, Enrique |
dc.contributor.author | Aguilera, José |
dc.contributor.author | Malvehy, J. (Josep) |
dc.contributor.author | Carrera Álvarez, Cristina |
dc.contributor.author | Cavalcanti, Andrea |
dc.contributor.author | Rull, Ramón |
dc.contributor.author | Vilalta Solsona, Antonio |
dc.contributor.author | Lannoy, Emilie |
dc.contributor.author | Boutros, Celine |
dc.contributor.author | Benannoune, Naima |
dc.contributor.author | Tomasic, Gorana |
dc.contributor.author | Aegerte, Philippe |
dc.contributor.author | Vidal i Sicart, Sergi |
dc.contributor.author | Palou, Josep |
dc.contributor.author | Alós i Hernández, Llúcia |
dc.contributor.author | Requena, Celia |
dc.contributor.author | Traves, Víctor |
dc.contributor.author | Pla, Ángel |
dc.contributor.author | Bolumar, Isidro |
dc.contributor.author | Soriano, Virtudes |
dc.contributor.author | Guillén, Carlos |
dc.contributor.author | Herrera Ceballos, Enrique |
dc.date | 2019-03-19T19:06:50Z |
dc.date | 2019-03-19T19:06:50Z |
dc.date | 2015-09 |
dc.date | 2019-03-19T19:06:50Z |
dc.identifier | 0959-8049 |
dc.identifier | 660002 |
dc.identifier | 26072362 |
dc.identifier.uri | http://hdl.handle.net/2445/130565 |
dc.description | Introduction: In patients with primary cutaneous melanoma, there is generally a delay between excisional biopsy of the primary tumour and sentinel-node biopsy. The objective of this study is to analyse the prognostic implications of this delay. Patients and method: This was an observational, retrospective, cohort study in four tertiary referral hospitals. A total of 1963 patients were included. The factor of interest was the interval between the date of the excisional biopsy of the primary melanoma and the date of the sentinel-node biopsy (delay time) in the prognosis. The primary outcome was melanoma-specific survival and disease-free survival. Results: A delay time of 40 days or less (hazard ratio (HR), 1.7; confidence interval (CI), 1.2-2.5) increased Breslow thickness (Breslow ⩾2 mm, HR, >3.7; CI, 1.4-10.7), ulceration (HR, 1.6; CI, 1.1-2.3), sentinel-node metastasis (HR, 2.9; CI, 1.9-4.2), and primary melanoma localised in the head or neck were independently associated with worse melanoma-specific survival (all P < 0.03). The stratified analysis showed that the effect of delay time was at the expense of the patients with a negative sentinel-node biopsy and without regression. Conclusion: Early sentinel-node biopsy is associated with worse survival in patients with cutaneous melanoma. |
dc.format | 24 p. |
dc.format | application/pdf |
dc.language | eng |
dc.publisher | Elsevier B.V. |
dc.relation | Versió postprint del document publicat a: https://doi.org/10.1016/j.ejca.2015.05.023 |
dc.relation | European Journal of Cancer, 2015, vol. 51, num. 13, p. 1780-1793 |
dc.relation | https://doi.org/10.1016/j.ejca.2015.05.023 |
dc.rights | cc-by-nc-nd (c) Elsevier B.V., 2015 |
dc.rights | http://creativecommons.org/licenses/by-nc-nd/3.0/es |
dc.rights | info:eu-repo/semantics/openAccess |
dc.subject | Melanoma |
dc.subject | Càncer de pell |
dc.subject | Nodes limfàtics |
dc.subject | Melanoma |
dc.subject | Skin cancer |
dc.subject | Lymph nodes |
dc.title | Effect of time to sentinel-node biopsy on the prognosis of cutaneous melanoma |
dc.type | info:eu-repo/semantics/article |
dc.type | info:eu-repo/semantics/acceptedVersion |