Abstract
The American Joint Committee for Cancer Staging and End Results Reporting has developed a classification system for staging malignant melanoma. Based on the TNM classification system of the International Union Against Cancer, the American system uses information derived from over 1700 cases. Characteristics including level of invasion, thickness of penetration, nodal involvement, and incidence of metastases are considered and rules for classification are included.
Résumé
L'American Joint Committee for Cancer Staging and End Results Reporting a mis au point une classification des mélanomes malins. Elle est basée sur la classification TNM de l'Union Internationale contre le Cancer. Elle utilise des informations qui concernent plus de 1,700 cas. Les caractères précisés comportent le degré d'envahissement néoplasique, la profoundeur de pénétration, l'atteinte ganglionnaire, la fréquence des métastases. Sur ces bases, des règles de classification ont été établies.
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Arrington, J.H., III, Reed, R.J., Ichinose, H., Krementz, E.T.: Plantar lentiginous melanoma. A distinctive variant of human cutaneous malignant melanoma. Am. J. Surg. Pathol.1:131, 1977
Breslow, A.: Thickness, cross-sectional areas and depth of invasion in the prognosis of cutaneous melanoma. Ann. Surg.172:902, 1970
Breslow, A.: Tumor thickness, level of invasion and node dissection in stage I cutaneous melanoma. Ann. Surg.182:572, 1975
Clark, W.H., Jr., Mastrangelo, M.J., Ainsworth, A.M., Berd, D., Bellet, R.C., Bernardino, E.A.: Current concepts of the biology of human cutaneous malignant melanoma. Adv. Cancer Res.24:267, 1977
Clark, W.H., Jr., Ainsworth, A.M., Bernardino, E.A., Yang, C.H., Mihm, M.C., Jr., Reed, R.J.: The developmental biology of primary malignant melanomas. Semin. Oncol.2:83, 1975
Coehn, M., Ketcham, A.S., Felix, E., Li, S.-H., Tomaszewski, M.-M., Costa, J., Rabson, A.S., Simon, R.M., Rosenberg, S.A.: Prognostic factors in patients undergoing lymphadenectomy for malignant melanoma. Ann. Surg.186:635, 1977
Davis, N.C., McLeod, G.R., Beardmore, G.L., Little, J.H., Quinn, R.L., Holt, J.: Primary cutaneous melanoma. A report from the Queensland Melanoma Project. CA26:80, 1976
Geelhoed, G.W., Breslow, A., McCune, W.: Malignant melanoma: correlation of long-term follow-up with clinical staging, level of invasion and thickness of the primary tumor. Am. Surg.43:77, 1977
Hansen, G.M., McCohen, A.B.: Tumor thickness and lymphocytic infiltration in malignant melanoma of the head and neck. Am. J. Surg.128:557, 1974
Holmes, E.C., Moseley, H.S., Morton, D.L., Clark, W., Robinson, D., Marshall, M.U.: A rational approach to the surgical management of melanoma. Ann. Surg.186:481, 1977
Knutson, C.O., Hori, J.M., Spratt, J.S.: Melanoma. Curr. Probl. Surg., December, 1971
McGovern, V.J.: The classification of melanoma and its relationship with prognosis. Pathology2:85, 1970
McGovern, V.J., Mihm, M.C., Jr., Bailly, C., Booth, J.C., Clark, W.H., Jr., Cochran, A.J., Hardy, E.G., Hicks, J.D., Levene, A., Lewis, M.G., Little, J.H., Milton, G.W.: The classification of malignant melanoma and its histologic reporting. Cancer32:1446, 1973
Mehnert, J.H., Heard, J.L.: Staging of malignant melanomas by depth of invasion. Am. J. Surg.110:168, 1965
Mihm, M.C., Jr., Clark, W.H., Jr., From, L.: Current concepts: the clinical diagnosis, classification and histogenetic concepts of the early stages of cutaneous malignant melanoma. N. Engl. J. Med.284:1078, 1971
Reed, R.J., Ichinose, H., Clark, W.H., Jr., Mihm, M.C., Jr.: Common and uncommon melanocytic nevi and borderline melanomas. Semin. Oncol.2:119, 1975
Shah, J.P., Goldsmith, H.S.: Prognosis of malignant melanoma in relation to clinical presentation. Am. J. Surg.123:286, 1972
Stehlin, J.: Malignant melanoma: an appraisal. Surgery64:6, 1968
Wanebo, J.H., Woodruff, J., Fortner, J.: Malignant melanoma of the extremities: a clinicopathologic study using levels of invasion (microstage). Cancer35:666, 1975
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Ketcham, A.S., Christopherson, W.O. A staging system for malignant melanoma. World J. Surg. 3, 271–276 (1979). https://doi.org/10.1007/BF01556573
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DOI: https://doi.org/10.1007/BF01556573