[A survival analysis of patients with malignant uveal melanoma]. 2000

M Călugăru, and M Mera, and D Călugăru

OBJECTIVE Survival rate estimate in patients with uveal malignant melanoma. METHODS 100 cases of uveal malignant melanoma were retrospectively reviewed clinically and histopathologically. Survival rate assessment of the patients was carried out by means of uni and multivariate analysis. Univariate evaluation was performed using the Kaplan-Meier's method and multivariate analysis by means of the proportional hazards model of Cox. RESULTS Univariate analysis disclosed some significant factors predicting survival rates such as: the period of time elapsed between occurring the first disease symptoms and the objective appearance of uveal melanoma, personal history connected with melanoma, the size, shape and extrascleral extension of the tumor, the Callender's cell type, the reticulin and melanin amount existing within the tumor, the necrosis extension into the tumor and development or not of the metastases. Multivariate analysis succeeded in disclosing a hierarchy of factors predicting survival rates headed by the histopathologically necrosis cell type. CONCLUSIONS There are not significant differences between sexes, different age groups and professions with regard to survival rates of the patients with uveal malignant melanoma. Multivariate analysis represents the main means of assessment of the part played by a combination of different prognostical factors in survival of uveal malignant melanoma patients.

UI MeSH Term Description Entries
D008297 Male Males
D008545 Melanoma A malignant neoplasm derived from cells that are capable of forming melanin, which may occur in the skin of any part of the body, in the eye, or, rarely, in the mucous membranes of the genitalia, anus, oral cavity, or other sites. It occurs mostly in adults and may originate de novo or from a pigmented nevus or malignant lentigo. Melanomas frequently metastasize widely, and the regional lymph nodes, liver, lungs, and brain are likely to be involved. The incidence of malignant skin melanomas is rising rapidly in all parts of the world. (Stedman, 25th ed; from Rook et al., Textbook of Dermatology, 4th ed, p2445) Malignant Melanoma,Malignant Melanomas,Melanoma, Malignant,Melanomas,Melanomas, Malignant
D009362 Neoplasm Metastasis The transfer of a neoplasm from one organ or part of the body to another remote from the primary site. Metastase,Metastasis,Metastases, Neoplasm,Metastasis, Neoplasm,Neoplasm Metastases,Metastases
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012383 Romania A country in southeastern Europe, bordering the Black Sea, between Bulgaria and Ukraine. The capital is Bucharest. Rumania,Roumania
D014604 Uveal Neoplasms Tumors or cancer of the UVEA. Neoplasm, Uveal,Neoplasms, Uveal,Uveal Neoplasm
D015999 Multivariate Analysis A set of techniques used when variation in several variables are studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables. Analysis, Multivariate,Multivariate Analyses
D016019 Survival Analysis A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function. Analysis, Survival,Analyses, Survival,Survival Analyses

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