Document Detail


Pathology of malignant melanoma of the skin in Black Africans.
MedLine Citation:
PMID:  1138394     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Follow-up data (over a 3-year period) and the histological appearances of primary lesion were studied and related in 40 Black patients with malignant melanoma. This to our knowledge is the first study in Black African patients. It was found that they present with large deeply invasive lesions, particularly on the foot. The prognosis is poor, with an over-all 3-year survival rate of 35%. The histological features used to assess the prognosis of malignant melanoma in Whites, that is histogenetic pattern, size and shape of the lesion, level of invasion, presence of ulceration and mitotic activity would seem to be equally applicable in Black patients. In addition, marked cellular pleomorphism, haemorrhage, necrosis and fibrosis within the tumour are bad signs. In this series lymphocytic infiltration, either within the tumour or at the edge, possibly indicative of an immune response, seemed to be of favourable prognostic import. Surprisingly, a lesion histologica-ly that of lentigo maligna melanoma was found on the feer of some blacks and could be related to much more favourable survival figures.
Authors:
J J Rippey; E Rippey; R M Giraud
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  49     ISSN:  0256-9574     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1975 May 
Date Detail:
Created Date:  1975-09-09     Completed Date:  1975-09-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  789-92     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
African Americans*
African Continental Ancestry Group
Blood Vessels / pathology
Female
Follow-Up Studies
Humans
Inflammation / pathology
Male
Melanoma / mortality,  pathology*
Middle Aged
Mitosis
Pigmentation
Pilot Projects
Skin / pathology
Skin Neoplasms / mortality,  pathology*
Skin Ulcer / pathology
South Africa

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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