Comparative study of cutaneous malignant melanoma according to anatomical site: plantar versus non-plantar melanoma

  • 0Department of Dermatology, Ibn Rochd University Hospital, 01, Rue Des Hopitaux, 25010, Casablanca, Morocco.

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Summary

This summary is machine-generated.

Plantar melanomas, affecting the sole of the foot, exhibit more aggressive traits and poorer prognoses compared to melanomas elsewhere. This study highlights the plantar region as a significant poor prognostic indicator for melanoma patients.

Area Of Science

  • Dermatology
  • Oncology
  • Pathology

Background

  • Plantar melanomas present with more aggressive clinicopathological features.
  • Higher mortality rates are observed in plantar melanomas compared to other sites.

Purpose Of The Study

  • To compare clinicopathological features of plantar melanoma versus non-plantar melanoma.
  • To identify prognostic factors differentiating plantar melanoma from melanomas at other anatomical locations.

Main Methods

  • Retrospective comparative analysis of cutaneous melanoma patients over 20 years.
  • Categorization into plantar melanoma and non-plantar melanoma groups.
  • Inclusion of 239 patients (186 plantar, 53 non-plantar).

Main Results

  • Plantar melanoma more prevalent in males and older individuals.
  • Associated with greater Breslow depth, deeper Clark invasion, and higher ulceration rates.
  • Increased incidence of lymphovascular and visceral metastases in plantar melanoma.
  • Breslow thickness, distant metastasis, and traumatized areas linked to plantar melanoma prognosis.

Conclusions

  • The plantar region is identified as a site associated with a poor prognosis for melanoma.
  • Clinicopathological characteristics and prognostic factors differ significantly between plantar and non-plantar melanomas.