Stage III melanoma incidence and impact of transitioning to the 8th AJCC staging system: a US population-based study

Future Oncol. 2019 Feb;15(4):359-370. doi: 10.2217/fon-2018-0671. Epub 2018 Oct 15.

Abstract

Aim: To estimate incidence of stage III melanoma using the American Joint Committee on Cancer (AJCC) staging, 7th and 8th edition.

Patients & methods: The SEER US cancer registry was analyzed (2010-2014). AJCC7 stages were recorded in the data; AJCC8 stages were inferred.

Results: Of 106,195 melanoma patients, 7669 and 7342 had stage III melanoma by AJCC7 and AJCC8, respectively (95% overlap). Nearly 30% of patients with AJCC7 stage III melanoma were reclassified in a higher stage III group by AJCC8 versus 7% in lower stage group. Regardless of the AJCC edition, incidence of stage III melanoma has increased from 2010 to 2014 both overall and within each stage III group.

Conclusion: Providing appropriate management to this growing population of high-risk patients is a priority.

Keywords: melanoma; staging; incidence.

MeSH terms

  • Aged
  • Female
  • Humans
  • Incidence
  • Male
  • Melanoma / diagnosis
  • Melanoma / epidemiology*
  • Melanoma / pathology*
  • Middle Aged
  • Neoplasm Staging
  • Population Surveillance
  • SEER Program
  • United States / epidemiology