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Fitzpatrick skin type and relationship to ocular melanoma
Irwin Leventer1, Kevin R Card1, Carol L Shields1
1Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Clinics in Dermatology
|February 13, 2025
Summary
Fitzpatrick Skin Type (FST) impacts ocular melanoma risk and outcomes. Lighter skin tones (FST I) correlate with higher-grade mutations and metastasis risk in uveal melanoma.
Area of Science:
- Ophthalmology
- Dermatology
- Oncology
Background:
- Fitzpatrick Skin Type (FST) classifies skin color (I-VI) and is used in cutaneous melanoma research.
- Ocular melanoma affects the eye, including conjunctiva and uvea.
- Limited research exists on FST's role in ocular melanoma.
Purpose of the Study:
- To summarize the relationship between Fitzpatrick Skin Type and ocular melanoma outcomes.
- To review literature on FST in conjunctival and uveal melanoma.
Main Methods:
- Literature review of studies on conjunctival and uveal melanoma.
- Analysis of FST data in 540 conjunctival melanoma cases and 854 uveal melanoma cases.
Main Results:
- Conjunctival melanoma predominantly affects FST I/II, but FST does not impact 5-year outcomes.
- Uveal melanoma in FST III-V correlates with increased tumor thickness and basal diameter.
- FST I is linked to high-grade genetic mutations and increased metastasis/death risk in uveal melanoma.
Conclusions:
- FST may influence uveal melanoma characteristics and prognosis.
- Further research is needed to clarify FST's role in ocular melanoma development and progression.
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