Clinical features and prognosis of conjunctival melanoma in Japanese patients

Purpose To evaluate the clinical features and prognosis of conjunctival melanoma in Japanese patients. Study design Retrospective observational case series. Methods Twenty patients (8 men and 12 women) diagnosed with conjunctival melanoma at a singlehospital between 2003 and 2017 were analyzed. Data...

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Veröffentlicht in:Japanese journal of ophthalmology 2024-09, Vol.68 (5), p.463-471
Hauptverfasser: Tanabe, Mika, Funatsu, Naohiko, Akiyama, Masato, Takaki, Ken-Ichi, Fujii, Yuya, Seki, Eiko, Yamana, Kanako, Yoshikawa, Hiroshi, Sonoda, Koh-Hei
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container_end_page 471
container_issue 5
container_start_page 463
container_title Japanese journal of ophthalmology
container_volume 68
creator Tanabe, Mika
Funatsu, Naohiko
Akiyama, Masato
Takaki, Ken-Ichi
Fujii, Yuya
Seki, Eiko
Yamana, Kanako
Yoshikawa, Hiroshi
Sonoda, Koh-Hei
description Purpose To evaluate the clinical features and prognosis of conjunctival melanoma in Japanese patients. Study design Retrospective observational case series. Methods Twenty patients (8 men and 12 women) diagnosed with conjunctival melanoma at a singlehospital between 2003 and 2017 were analyzed. Data on clinical presentation, sex, age, the affected eye, tumor location, tumor origin, tumor stage according to the American Joint Committee on Cancer staging system (eighth edition), treatment, outcomes, local recurrence, metastasis, and survival were extracted from the patients’ medical records and reviewed. Results The mean age at diagnosis was 64.2 ± 14.8 years. Tumor locations at the first examination included the bulbar conjunctiva ( n  = 19), plica ( n  = 13), and fornix ( n  = 12). The tumor stage was T1 in 5 cases (25%), T2 in 12 cases (60%), T3 in 3 cases (15%), and T4 in none. The mean follow-up duration was 91.7 ± 46.0 months. The local recurrence rates at 1, 5, and 10 years were 5.0%, 18.8%, and 31.5%, respectively, whilst the metastasis rates were 5.0%, 25.6%, and 32.4%, respectively. Four of the 6 patients who experienced metastasis died; duration from metastasis to death was 17.5 months (range, 7–25). The 5-year survival rate for conjunctival melanoma was 78.8%. Tumor thickness was significantly associated with survival duration on univariate Cox regression analyses. Conclusion The mortality rate for conjunctival melanoma in the Japanese population was lower and higher than that reported in the Chinese and United States populations, respectively. Tumor thickness was a prognostic factor for survival in patients with conjunctival melanoma.
doi_str_mv 10.1007/s10384-024-01085-z
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Study design Retrospective observational case series. Methods Twenty patients (8 men and 12 women) diagnosed with conjunctival melanoma at a singlehospital between 2003 and 2017 were analyzed. Data on clinical presentation, sex, age, the affected eye, tumor location, tumor origin, tumor stage according to the American Joint Committee on Cancer staging system (eighth edition), treatment, outcomes, local recurrence, metastasis, and survival were extracted from the patients’ medical records and reviewed. Results The mean age at diagnosis was 64.2 ± 14.8 years. Tumor locations at the first examination included the bulbar conjunctiva ( n  = 19), plica ( n  = 13), and fornix ( n  = 12). The tumor stage was T1 in 5 cases (25%), T2 in 12 cases (60%), T3 in 3 cases (15%), and T4 in none. The mean follow-up duration was 91.7 ± 46.0 months. The local recurrence rates at 1, 5, and 10 years were 5.0%, 18.8%, and 31.5%, respectively, whilst the metastasis rates were 5.0%, 25.6%, and 32.4%, respectively. Four of the 6 patients who experienced metastasis died; duration from metastasis to death was 17.5 months (range, 7–25). The 5-year survival rate for conjunctival melanoma was 78.8%. Tumor thickness was significantly associated with survival duration on univariate Cox regression analyses. Conclusion The mortality rate for conjunctival melanoma in the Japanese population was lower and higher than that reported in the Chinese and United States populations, respectively. Tumor thickness was a prognostic factor for survival in patients with conjunctival melanoma.</description><identifier>ISSN: 0021-5155</identifier><identifier>ISSN: 1613-2246</identifier><identifier>EISSN: 1613-2246</identifier><identifier>DOI: 10.1007/s10384-024-01085-z</identifier><identifier>PMID: 38990387</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Clinical Investigation ; Conjunctiva ; Eye cancer ; Fornix ; Medical prognosis ; Medical records ; Medicine ; Medicine &amp; Public Health ; Melanoma ; Metastases ; Metastasis ; Ophthalmology ; Patients ; Prognosis ; Regression analysis ; Survival ; Thickness ; Tumors</subject><ispartof>Japanese journal of ophthalmology, 2024-09, Vol.68 (5), p.463-471</ispartof><rights>Japanese Ophthalmological Society 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. Japanese Ophthalmological Society.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c349t-8c44b98151fa5b97fb16c9b7686b7a64c237175668aaf61e51ef075bf06dc4b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10384-024-01085-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10384-024-01085-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38990387$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tanabe, Mika</creatorcontrib><creatorcontrib>Funatsu, Naohiko</creatorcontrib><creatorcontrib>Akiyama, Masato</creatorcontrib><creatorcontrib>Takaki, Ken-Ichi</creatorcontrib><creatorcontrib>Fujii, Yuya</creatorcontrib><creatorcontrib>Seki, Eiko</creatorcontrib><creatorcontrib>Yamana, Kanako</creatorcontrib><creatorcontrib>Yoshikawa, Hiroshi</creatorcontrib><creatorcontrib>Sonoda, Koh-Hei</creatorcontrib><title>Clinical features and prognosis of conjunctival melanoma in Japanese patients</title><title>Japanese journal of ophthalmology</title><addtitle>Jpn J Ophthalmol</addtitle><addtitle>Jpn J Ophthalmol</addtitle><description>Purpose To evaluate the clinical features and prognosis of conjunctival melanoma in Japanese patients. Study design Retrospective observational case series. Methods Twenty patients (8 men and 12 women) diagnosed with conjunctival melanoma at a singlehospital between 2003 and 2017 were analyzed. Data on clinical presentation, sex, age, the affected eye, tumor location, tumor origin, tumor stage according to the American Joint Committee on Cancer staging system (eighth edition), treatment, outcomes, local recurrence, metastasis, and survival were extracted from the patients’ medical records and reviewed. Results The mean age at diagnosis was 64.2 ± 14.8 years. Tumor locations at the first examination included the bulbar conjunctiva ( n  = 19), plica ( n  = 13), and fornix ( n  = 12). The tumor stage was T1 in 5 cases (25%), T2 in 12 cases (60%), T3 in 3 cases (15%), and T4 in none. The mean follow-up duration was 91.7 ± 46.0 months. The local recurrence rates at 1, 5, and 10 years were 5.0%, 18.8%, and 31.5%, respectively, whilst the metastasis rates were 5.0%, 25.6%, and 32.4%, respectively. Four of the 6 patients who experienced metastasis died; duration from metastasis to death was 17.5 months (range, 7–25). The 5-year survival rate for conjunctival melanoma was 78.8%. Tumor thickness was significantly associated with survival duration on univariate Cox regression analyses. Conclusion The mortality rate for conjunctival melanoma in the Japanese population was lower and higher than that reported in the Chinese and United States populations, respectively. 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Study design Retrospective observational case series. Methods Twenty patients (8 men and 12 women) diagnosed with conjunctival melanoma at a singlehospital between 2003 and 2017 were analyzed. Data on clinical presentation, sex, age, the affected eye, tumor location, tumor origin, tumor stage according to the American Joint Committee on Cancer staging system (eighth edition), treatment, outcomes, local recurrence, metastasis, and survival were extracted from the patients’ medical records and reviewed. Results The mean age at diagnosis was 64.2 ± 14.8 years. Tumor locations at the first examination included the bulbar conjunctiva ( n  = 19), plica ( n  = 13), and fornix ( n  = 12). The tumor stage was T1 in 5 cases (25%), T2 in 12 cases (60%), T3 in 3 cases (15%), and T4 in none. The mean follow-up duration was 91.7 ± 46.0 months. The local recurrence rates at 1, 5, and 10 years were 5.0%, 18.8%, and 31.5%, respectively, whilst the metastasis rates were 5.0%, 25.6%, and 32.4%, respectively. Four of the 6 patients who experienced metastasis died; duration from metastasis to death was 17.5 months (range, 7–25). The 5-year survival rate for conjunctival melanoma was 78.8%. Tumor thickness was significantly associated with survival duration on univariate Cox regression analyses. Conclusion The mortality rate for conjunctival melanoma in the Japanese population was lower and higher than that reported in the Chinese and United States populations, respectively. Tumor thickness was a prognostic factor for survival in patients with conjunctival melanoma.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>38990387</pmid><doi>10.1007/s10384-024-01085-z</doi><tpages>9</tpages></addata></record>
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subjects Clinical Investigation
Conjunctiva
Eye cancer
Fornix
Medical prognosis
Medical records
Medicine
Medicine & Public Health
Melanoma
Metastases
Metastasis
Ophthalmology
Patients
Prognosis
Regression analysis
Survival
Thickness
Tumors
title Clinical features and prognosis of conjunctival melanoma in Japanese patients
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