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Updated: Sep 17, 2025

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黑色素瘤的病理学:新的概念 (2025年更新)
Justine Galambus1, Ciaran Smythe1, Clay J Cockerell2
1Department of Dermatology, Lake Granbury Medical Center, University of North Texas, 2100 Research Row Suite 100, Dallas, TX 75235, USA.
Dermatologic clinics
|June 28, 2025
概括
黑色素瘤皮肤癌的诊断和死亡率预计将在2025年上升. 尽管发病率增加,但黑色素瘤的5年生存率有显著提高,特别是在局部疾病中.
科学领域:
- 在瘤学瘤学.
- 皮肤病学 皮肤病学
- 流行病学 流行病学
背景情况:
- 黑色素瘤是一个重要的公共卫生问题,每年预计会有大量的新病例和死亡.
- 在不同的人口群体中,发病率各不相同,非西班牙裔白人面临着显著的终身风险.
- 近几十年来,黑色素瘤的生存率有所改善.
研究的目的:
- 总结当前和预测的皮肤黑色素瘤的统计数据.
- 分析黑色素瘤存活率的趋势.
- 突出疾病阶段对黑色素瘤预后的影响.
主要方法:
- 来自美国癌症协会的数据综合估计为2025年.
- 分析历史和最近的5年生存率.
- 基于诊断时的疾病阶段的生存结果的比较.
主要成果:
- 预计2025年美国诊断:约105,000种侵袭性黑色素瘤,约107,000种黑色素瘤 in situ.
- 预计2025年美国死亡人数:>8,400人死于皮肤黑色素瘤.
- 非西班牙裔白人一生入侵性黑色素瘤风险:1:29 (男性),1:40 (女性).
- 在这个人群中,5年生存率从82% (1975-1997) 提高到94% (2014-2020).
- 根据阶段的5年生存率:局部>99%,区域75%,远程35%.
结论:
- 黑色素瘤发病率和死亡率仍然是关键问题,需要继续开展公共卫生工作.
- 黑色素瘤治疗的重大进展导致了更好的生存率.
- 早期诊断和局部黑色素瘤的治疗对于最佳的患者结果至关重要.
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