Angiotropism is an independent predictor of microscopic satellites in primary cutaneous melanoma.

Abstract:

AIMS:To establish whether microscopic angiotropism of melanoma cells correlates with microscopic satellite (MS) formation in cutaneous melanomas and thus is likely to explain the development of MS. MATERIALS AND RESULTS:Patients with MS and controls without MS from 1996 to 2009 were evaluated for the presence or absence of angiotropism. MS was defined as a dermal/subcutaneous tumour nodule >0.05 mm, separated from the primary tumour by at least 0.3 mm. Forty four cases and controls were matched for tumour thickness, mitotic rate, ulceration, age, gender and primary site. Angiotropism (23 of 44, 52%) and absent regression (19 of 44, 43%) were significantly more frequent in melanomas with MS than in those without MS (controls) (12 of 44, 27%) (P = 0.017) and (32 of 44, 73%) (P = 0.005), respectively. Factors correlating with angiotropism included increased Clark level (P = 0.046), regression absence (P = 0.02) and MS (P = 0.017). On multivariable analysis, MS formation was predicted by angiotropism (P = 0.026), Clark level V (P = 0.01), absent regression (P = 0.009) and acral site (P = 0.02). CONCLUSIONS:Angiotropism predicts MS development. These data provide additional evidence for the importance of angiotropism as a means of melanoma metastasis.

journal_name

Histopathology

journal_title

Histopathology

authors

Wilmott J,Haydu L,Bagot M,Zhang Y,Jakrot V,McCarthy S,Lugassy C,Thompson J,Scolyer R,Barnhill R

doi

10.1111/j.1365-2559.2012.04279.x

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

889-98

issue

5

eissn

0309-0167

issn

1365-2559

journal_volume

61

pub_type

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