Factors related to the presentation of thin and thick nodular melanoma from a population‐based cancer registry in Queensland Australia
Open accessAbstract
BACKGROUND: Worldwide, the incidence of thick melanoma has not declined, and the nodular melanoma (NM) subtype accounts for nearly 40% of newly diagnosed thick melanoma. To assess differences between patients with thin (≤2.00 mm) and thick (≥2.01 mm) nodular melanoma, the authors evaluated factors such as demographics, melanoma detection patterns, tumor visibility, and physician screening for NM alone and compared clinical presentation and anatomic location of NM with superficial spreading melanoma (SSM). METHODS: The authors used data from a large population‐based study of Queensland (Australia) residents diagnosed with melanoma. Queensland residents aged 20 to 75 years with histologically confirmed first primary invasive cutaneous melanoma were eligible for the study, and all questionnaires were conducted by telephone (response rate, 77.9%). RESULTS: During this 4‐year period, 369 patients with nodular melanoma were interviewed, of whom 56.7% were diagnosed with tumors ≤2.00 mm. Men, older individuals, and those who had not been screened by a physician in the past 3 years were more likely to have nodular tumors of greater thickness. Thickest nodular melanoma (4 mm+) was also most common in persons who had not been screened by a physician within the past 3 years (odds ratio, 3.75; 95% confidence interval, 1.47‐9.59). Forty‐six percent of patients with thin nodular melanoma (≤2.00 mm) reported a change in color, compared with 64% of patients with thin SSM and 26% of patients with thick nodular melanoma (>2.00 mm). CONCLUSIONS: Awareness of factors related to earlier detection of potentially fatal nodular melanomas, including the benefits of a physician examination, should be useful in enhancing public and professional education strategies. Particular awareness of clinical warning signs associated with thin nodular melanoma should allow for more prompt diagnosis and treatment of this subtype. Cancer 2009. © 2009 American Cancer Society.
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Other factors associated with delayed diagnosis are related to the opportunity to consult a dermatologist rather than a general practitioner.
“Other factors are related to the opportunity to consult a dermatologist rather than a general practitioner [4,13].”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [4]
The Conclusions (page unavailable) report that thick nodular melanoma was more common among people without a physician skin examination in the preceding three years and among those who detected their own lesions. That supports an association with physician examination, but the paper does not compare opportunities to consult a dermatologist rather than a general practitioner. (LLM, conf=0.84)
Experimental — accuracy not yet measuredNumerous factors associated with a delayed diagnosis of melanoma are patient-related.
“Numerous factors associated with a delayed diagnosis are patient-related [4-12].”
From Use of Smartphones for Early Detection of Melanoma: Systematic Review (2018) · cites this paper as [4]
The Conclusions (page not provided) associate thicker nodular melanoma with patient characteristics, including male sex, advanced age, and self-detection rather than physician detection. These findings support a patient-related component to later detection, but the paper does not establish that those factors caused a delay in diagnosis or measure diagnostic delay directly. (LLM, conf=0.82)
Experimental — accuracy not yet measured
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- Authors
- Geller, A. C., Elwood, M., Swetter, S. M., Brooks, D. R., Aitken, J., Youl, P. H., Demierre, M., & Baade, P. D.
- Affiliations
- Harvard University (US)
- BC Cancer Agency (CA)
- VA Palo Alto Health Care System (US)
- Boston University (US)
- The University of Queensland (AU)
- Cancer Council Queensland (AU)
- Queensland University of Technology (AU)
- Corresponding author
- Geller, Alan C.
- ORCID
- Venue
- Cancer
- Publisher
- Wiley
- Published
- 2009-02-02
- Volume
- 115
- Issue
- 6
- Pages
- 1318-1327
- ISSN
- 0008-543X (ISSN-L)
- 1097-0142
- OpenAlex
- W1519927461
- Cited by
- 91
- References
- 29
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 6 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 15 · 2013: 7 · 2012: 8
- FWCI
- 4.17
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cancer (publishedVersion)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion)
- Faculty of Health
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- nodular melanoma, thin melanoma, thick melanoma, melanoma thickness, superficial spreading melanoma, melanoma detection, clinical warning signs, tumor visibility, melanoma risk factors, Queensland
- MeSH terms
- Adult, Aged, Female, Health Surveys, Humans, Male, Melanoma, Middle Aged, Physical Examination, Queensland, Surveys and Questionnaires, Registries, Skin Neoplasms, Early Detection of Cancer
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