From: Racial differences in six major subtypes of melanoma: descriptive epidemiology
Melanoma in situ | Superficial spreading melanoma | Nodular melanoma | |||||||||||||
NHW (n = 87852) | HW (n = 1890) | Black (n = 222) | Asian/PI (n = 180) | P | NHW (n = 84790) | HW (n = 1993) | Black (n = 218) | Asian/PI (n = 364) | P | NHW (n = 19260) | HW (n = 689) | Black (n = 106) | Asian/PI (n = 160) | P | |
Gender | <0.001 | <0.001 | <0.001 | ||||||||||||
Male | 54.7 | 36.0 | 45.0 | 44.6 | 53.3 | 35.6 | 42.2 | 49.2 | 61.6 | 51.8 | 44.3 | 56.3 | |||
Female | 45.3 | 64.0 | 55.0 | 55.4 | 46.7 | 64.4 | 57.8 | 50.8 | 38.4 | 48.2 | 55.7 | 43.8 | |||
Marital Status | <0.001 | <0.001 | <0.001 | ||||||||||||
Single | 12.6 | 15.4 | 22.1 | 18.8 | 15.4 | 18.8 | 26.3 | 23.9 | 14.9 | 21.3 | 37.0 | 17.6 | |||
Married | 73.9 | 70.8 | 54.7 | 67.7 | 71.2 | 67.7 | 48.1 | 62.7 | 63.5 | 58.5 | 34.8 | 62.0 | |||
Separated/divorced/widowed | 13.5 | 13.8 | 23.3 | 13.5 | 13.4 | 13.5 | 25.6 | 13.4 | 21.6 | 20.2 | 28.3 | 20.4 | |||
Age at diagnosis | 60.5 ± 15.9 | 55.6 ± 16.9 | 59.2 ± 16.2 | 55.0 ± 17.9 | <0.001 | 54.7 ± 16.7 | 49.2 ± 16.5 | 56.0 ± 17.7 | 52.7 ± 17.3 | <0.001 | 62.1 ± 17.7 | 55.9 ± 19.1 | 62.7 ± 18.1 | 60.3 ± 20.1 | <0.001 |
Anatomic Site | <0.001 | <0.001 | <0.001 | ||||||||||||
Face/head/neck | 25.7 | 28.6 | 18.0 | 22.3 | 13.7 | 14.4 | 9.6 | 11.0 | 22.9 | 22.5 | 15.1 | 16.9 | |||
Trunk | 30.9 | 24.1 | 12.6 | 26.0 | 39.0 | 33.9 | 29.8 | 36.0 | 32.1 | 28.3 | 18.9 | 26.3 | |||
Upper Extremity | 25.9 | 23.9 | 24.8 | 22.8 | 25.7 | 22.9 | 17.0 | 18.7 | 27.1 | 20.8 | 12.3 | 13.8 | |||
Lower Extremity | 17.0 | 23.0 | 44.1 | 29.0 | 21.0 | 28.4 | 42.2 | 33.5 | 17.4 | 28.0 | 51.9 | 43.1 | |||
Other | 0.6 | 0.5 | 0.5 | 0 | 0.5 | 0.4 | 1.4 | 0.8 | 0.6 | 0.4 | 1.9 | 0 | |||
Thickness of tumor (mm) | 0.80 ± 1.83 | 0.78 ± 1.85 | 1.02 ± 1.31 | 0.68 ± 0.88 | 0.980 | 0.92 ± 1.09 | 1.01 ± 1.20 | 1.51 ± 2.11 | 1.36 ± 1.96 | <0.001 | 3.27 ± 2.51 | 3.93 ± 3.02 | 4.22 ± 3.18 | 4.23 ± 3.04 | <0.001 |
Satellite nodules | 0.012 | 0.280 | |||||||||||||
No | - | - | - | - | 97.0 | 97.2 | 95.9 | 95.3 | 93.5 | 93.9 | 88.7 | 95.6 | |||
Yes | - | - | - | - | 0.6 | 1.1 | 0.9 | 0.8 | 3.6 | 3.5 | 4.7 | 3.1 | |||
Unknown | - | - | - | - | 2.4 | 1.7 | 3.2 | 3.8 | 3.0 | 2.6 | 6.6 | 1.3 | |||
Ulceration | 0.242 | 0.001 | 0.001 | ||||||||||||
No | 92.2 | 91.7 | 94.1 | 91.1 | 86.7 | 87.6 | 83.5 | 87.4 | 59.8 | 56.0 | 50.9 | 56.3 | |||
Yes | 0.5 | 0.4 | 0.9 | 0 | 4.9 | 6.0 | 8.3 | 6.6 | 31.4 | 38.3 | 37.7 | 35.6 | |||
Unknown | 7.3 | 7.9 | 5.0 | 8.9 | 8.4 | 6.4 | 8.3 | 6.0 | 8.8 | 5.7 | 11.3 | 8.1 | |||
Lymph node extension | 0.866 | <0.001 | <0.001 | ||||||||||||
None | 99.9 | 99.8 | 99.5 | 100.0 | 72.7 | 78.8 | 67.0 | 76.9 | 63.3 | 60.4 | 52.8 | 58.1 | |||
Regional | 0 | 0 | 0 | 0 | 3.2 | 4.7 | 5.0 | 6.6 | 16.6 | 25.3 | 18.9 | 25.0 | |||
Distant | 0 | 0 | 0 | 0 | 0.1 | 0.2 | 0 | 0 | 0.9 | 2.0 | 5.7 | 1.9 | |||
Unknown | 0.1 | 0.2 | 0.5 | 0 | 24.0 | 16.3 | 28.0 | 16.5 | 19.2 | 12.3 | 22.6 | 15.0 | |||
Stage | 0.996 | <0.001 | <0.001 | ||||||||||||
In situ | 100.0 | 100.0 | 100.0 | 100.0 | - | - | - | - | - | - | - | - | |||
Localized | - | - | - | - | 92.7 | 90.8 | 86.7 | 87.9 | 62.1 | 51.1 | 43.4 | 52.5 | |||
Regional | - | - | - | - | 5.4 | 7.4 | 9.6 | 9.6 | 32.0 | 40.1 | 38.7 | 41.3 | |||
Distant | - | - | - | - | 0.4 | 0.8 | 0.9 | 0.8 | 4.1 | 7.1 | 14.2 | 5.6 | |||
Unstaged | 0.0 | - | - | - | 1.5 | 1.1 | 2.8 | 1.6 | 1.9 | 1.7 | 3.8 | 0.6 | |||
Treatment | 0.152 | 0.005 | 0.033 | ||||||||||||
No treatment | 4.1 | 5.8 | 5.0 | 4.2 | 1.6 | 2.0 | 1.4 | 2.2 | 1.5 | 1.6 | 1.9 | 1.3 | |||
Surgery | 95.1 | 93.7 | 94.6 | 95.3 | 97.1 | 97.1 | 95.4 | 95.6 | 94.7 | 94.8 | 90.6 | 93.8 | |||
Radiation | 0.1 | 0.1 | 0 | 0.2 | 0.1 | 0 | 0.5 | 0 | 0.2 | 0 | 0 | 1.3 | |||
Radiation & Surgery | 0.4 | 0.3 | 0 | 0 | 0.9 | 0.8 | 1.4 | 1.9 | 3.3 | 3.2 | 5.7 | 3.1 | |||
Unknown | 0.2 | 0.2 | 0.5 | 0.2 | 0.4 | 0.1 | 1.4 | 0.3 | 0.4 | 0.4 | 1.9 | 0.6 | |||
Type of surgery | <0.001 | <0.001 | <0.001 | ||||||||||||
No surgery | 4.2 | 5.9 | 5.1 | 4.5 | 1.7 | 2.1 | 1.6 | 2.3 | 1.8 | 1.7 | 2.0 | 2.1 | |||
Biopsy | 65.8 | 63.9 | 51.6 | 55.8 | 43.0 | 43.6 | 37.0 | 42.9 | 32.5 | 35.1 | 34.3 | 32.9 | |||
Wide excision | 29.8 | 29.9 | 40.0 | 39.3 | 55.0 | 53.5 | 59.3 | 54.2 | 64.3 | 57.3 | 57.6 | 60.3 | |||
Amputation | 0.1 | 0.2 | 2.8 | 0.5 | 0.1 | 0.4 | 2.1 | 0.3 | 0.5 | 3.5 | 3.0 | 4.1 | |||
Surgery NOS | 0.1 | 0.1 | 0.5 | 0 | 0.3 | 0.5 | 0 | 0.3 | 0.9 | 2.4 | 3.0 | 0.7 | |||
Survival time (month) | 300.7 ± 3.0 | 355.9 ± 13.1 | 287.8 ± 15.3 | 325.6 ± 19.6 | <0.001 | 298.7 ± 1.2 | 305.8 ± 6.3 | 277.1 ± 17.5 | 300.2 ± 13.6 | 0.001 | 168.5 ± 1.8 | 160.3 ± 9.6 | 106.9 ± 14.3 | 145.8 ± 16.6 | 0.033 |
Lentigo maligna melanoma | Acral lentiginous melanoma, malignant | Malignant melanoma, NOS | |||||||||||||
NHW (n = 17226) | HW (n = 250) | Black (n = 46) | Asian/PI (n = 69) | P | NHW (n = 1822) | HW (n = 300) | Black (n = 215) | Asian/PI (n = 168) | P | NHW (n = 127924) | HW (n = 3807) | Black (n = 788) | Asian/PI (n = 861) | P | |
Gender | <0.001 | 0.138 | <0.001 | ||||||||||||
Male | 67.2 | 54.4 | 54.3 | 56.5 | 46.5 | 46.3 | 40.9 | 53.0 | 57.5 | 42.6 | 48.4 | 48.5 | |||
Female | 32.8 | 45.6 | 45.7 | 43.5 | 53.5 | 53.7 | 59.1 | 47.0 | 42.5 | 57.4 | 51.6 | 51.5 | |||
Marital Status | 0.283 | <0.001 | <0.001 | ||||||||||||
Single | 8.3 | 11.6 | 6.3 | 7.4 | 12.9 | 15.2 | 17.3 | 10.2 | 14.8 | 20.5 | 28.0 | 16.2 | |||
Married | 71.4 | 71.1 | 59.4 | 74.1 | 65.7 | 59.8 | 42.6 | 67.5 | 68.8 | 63.1 | 42.3 | 66.8 | |||
Separated/divorced/widowed | 20.3 | 17.4 | 34.4 | 18.5 | 21.5 | 25.0 | 40.1 | 22.3 | 16.4 | 16.3 | 29.7 | 17.0 | |||
Age at diagnosis | 69.7 ± 12.6 | 68.0 ± 14.5 | 65.3 ± 13.2 | 66.3 ± 16.8 | 0.001 | 63.6 ± 16.3 | 61.4 ± 16.8 | 65.5 ± 16.4 | 64.1 ± 16.1 | 0.034 | 58.9 ± 17.2 | 53.5 ± 18.2 | 60.3 ± 18.5 | 57.0 ± 19.3 | <0.001 |
Anatomic Site | <0.001 | 0.010 | <0.001 | ||||||||||||
Face/head/neck | 60.3 | 70.4 | 37.0 | 46.4 | 1.8 | 1.3 | 0.5 | 0 | 18.6 | 17.5 | 9.9 | 10.6 | |||
Trunk | 15.3 | 11.6 | 8.7 | 15.9 | 2.2 | 1.0 | 0 | 0 | 32.2 | 24.4 | 15.4 | 20.0 | |||
Upper Extremity | 19.3 | 11.6 | 6.5 | 14.5 | 20.2 | 16.3 | 15.3 | 19.0 | 23.7 | 19.7 | 11.3 | 17.5 | |||
Lower Extremity | 4.4 | 6.0 | 45.7 | 23.2 | 75.6 | 81.0 | 83.7 | 79.8 | 17.5 | 26.6 | 43.8 | 33.6 | |||
Other | 0.6 | 0.4 | 2.2 | 0 | 0.2 | 0.3 | 0.5 | 1.2 | 8.0 | 11.7 | 19.7 | 18.4 | |||
Thickness of tumor (mm) | 0.70 ± 1.00 | 0.73 ± 0.85 | 1.98 ± 2.59 | 0.96 ± 1.31 | <0.001 | 2.12 ± 2.08 | 2.38 ± 2.27 | 2.53 ± 2.39 | 2.99 ± 2.47 | <0.001 | 1.10 ± 1.47 | 1.53 ± 1.95 | 2.42 ± 2.63 | 1.75 ± 2.08 | <0.001 |
Satellite nodules | <0.001 | 0.016 | <0.001 | ||||||||||||
No | 96.1 | 97.2 | 89.1 | 89.9 | 94.5 | 92.7 | 93.5 | 86.9 | 89.3 | 85.5 | 79.1 | 80.8 | |||
Yes | 0.5 | 0 | 8.7 | 2.9 | 2.8 | 3.7 | 3.7 | 6.5 | 0.8 | 1.1 | 2.7 | 1.5 | |||
Unknown | 3.4 | 2.8 | 2.2 | 7.2 | 2.7 | 3.7 | 2.8 | 6.5 | 9.9 | 13.4 | 18.3 | 17.7 | |||
Ulceration | <0.001 | 0.025 | <0.001 | ||||||||||||
No | 88.8 | 85.6 | 67.4 | 82.6 | 70.5 | 65.3 | 62.3 | 60.7 | 78.0 | 72.2 | 60.0 | 65.5 | |||
Yes | 2.9 | 2.8 | 8.7 | 4.3 | 24.6 | 29.0 | 33.0 | 33.3 | 6.6 | 9.7 | 15.1 | 10.0 | |||
Unknown | 8.3 | 11.6 | 23.9 | 13.0 | 4.8 | 5.7 | 4.7 | 6.0 | 15.3 | 18.2 | 24.9 | 24.5 | |||
Lymph node extension | <0.001 | 0.001 | <0.001 | ||||||||||||
None | 75.8 | 75.6 | 63.0 | 69.6 | 68.0 | 70.3 | 69.3 | 60.7 | 71.6 | 66.6 | 49.4 | 54.1 | |||
Regional | 0.7 | 1.2 | 6.5 | 4.3 | 14.9 | 20.0 | 11.6 | 23.2 | 4.8 | 8.6 | 14.1 | 9.3 | |||
Distant | 0.1 | 0 | 2.2 | 1.4 | 0.9 | 41.3 | 1.4 | 0 | 0.8 | 1.2 | 2.7 | 2.3 | |||
Unknown | 23.4 | 23.2 | 28.3 | 24.6 | 16.2 | 8.3 | 17.7 | 16.1 | 22.8 | 23.6 | 33.9 | 34.3 | |||
Stage | <0.001 | 0.005 | <0.001 | ||||||||||||
In situ | - | - | - | - | - | - | - | - | - | - | - | - | |||
Localized | 93.5 | 93.2 | 73.9 | 85.5 | 67.7 | 60.7 | 66.5 | 53.0 | 77.3 | 66.3 | 44.7 | 57.7 | |||
Regional | 3.2 | 3.2 | 17.4 | 8.7 | 27.2 | 31.3 | 26.5 | 39.9 | 8.8 | 14.6 | 21.1 | 15.3 | |||
Distant | 0.3 | 0.4 | 4.3 | 1.4 | 3.3 | 4.3 | 4.7 | 5.4 | 6.3 | 10.3 | 20.6 | 16.4 | |||
Unstaged | 2.9 | 3.2 | 4.3 | 4.3 | 1.8 | 3.7 | 2.3 | 1.8 | 7.7 | 8.8 | 13.7 | 10.6 | |||
Treatment | 0.016 | 0.028 | <0.001 | ||||||||||||
No treatment | 2.1 | 4.0 | 4.3 | 1.4 | 1.8 | 2.7 | 3.3 | 0.6 | 6.1 | 11.2 | 15.4 | 12.1 | |||
Surgery | 96.2 | 94.8 | 93.5 | 92.8 | 96.8 | 94.3 | 94.4 | 94.6 | 88.7 | 82.5 | 73.0 | 78.0 | |||
Radiation | 0.1 | 0 | 0 | 1.4 | 0.2 | 0.3 | 0 | 0.6 | 1.7 | 2.0 | 4.8 | 3.9 | |||
Radiation & Surgery | 0.9 | 0.4 | 0 | 2.9 | 1.3 | 2.3 | 2.3 | 3.6 | 2.5 | 3.6 | 4.1 | 4.4 | |||
Unknown | 0.6 | 0.8 | 2.2 | 1.4 | 0 | 0.3 | 0 | 0.6 | 1.1 | 0.7 | 2.8 | 1.5 | |||
Survival time (month) | 181.9 ± 2.0 | 188.7 ± 14.2 | 153.0 ± 21.9 | 237.3 ± 25.1 | 0.138 | 158.4 ± 4.0 | 154.4 ± 10.4 | 133.4 ± 9.9 | 130.1 ± 12.1 | 0.023 | 243.0 ± 0.9 | 237.9 ± 5.8 | 144.6 ± 8.9 | 215.3 ± 10.1 | <0.001 |