Prognostic Predictors of Oral Mucosal Melanoma-A Systematic Review and Meta-Analysis

  • 0Department of Oral and Maxillofacial Pathology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India.

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Summary

This summary is machine-generated.

Oral mucosal melanoma (OMM) survival is poor, with a 5-year rate of 34%. Prognostic factors like tumor size, lymph node metastasis, and location significantly impact outcomes for OMM patients.

Area Of Science

  • Oncology
  • Surgical Oncology
  • Cancer Research

Background

  • Oral mucosal melanoma (OMM) is a rare and aggressive cancer.
  • Prognostic factors for OMM are not well-defined, necessitating further research.

Purpose Of The Study

  • To systematically review and perform a meta-analysis to identify prognostic predictors for OMM.
  • To improve understanding of factors influencing survival outcomes in OMM patients.

Main Methods

  • Searched PubMed, Web of Science, and Scopus for relevant studies (case reports, series, retrospective observational).
  • Extracted data on demographics, tumor characteristics, and survival outcomes.
  • Conducted a random-effects model meta-analysis and assessed study quality using Murad criteria and JBI checklist.

Main Results

  • Included 16 studies (1151 patients) in the review and 5 studies (942 patients) in the meta-analysis.
  • Pooled 5-year survival for OMM was 34%.
  • Key poor prognostic factors identified: tumor size >4cm, lymph node metastasis, and non-palatal location. Palatal lesions had better survival (85% at 2 years).

Conclusions

  • Tumor size, lymph node involvement, and anatomical site are critical prognostic indicators for OMM.
  • Standardized staging systems incorporating tumor burden and histopathologic markers are crucial for accurate OMM prognostication.