Patterns of increased incidence and survival of cutaneous melanoma in Girona (Spain) 1994-2013: a population-based study

Clin Transl Oncol. 2018 Dec;20(12):1617-1625. doi: 10.1007/s12094-018-1900-x. Epub 2018 Jun 5.

Abstract

Introduction: We conducted a population-based study on the Girona Cancer Registry (Spain) for the period 1994-2013 to determine patterns of change in the incidence of melanoma, which is increasing in many countries, and patient survival in our geographical area.

Materials and methods: Using the standard registration rules for cancer registries, we calculated crude and standardized incidence rates as well as their trends. We also analysed the observed survival, 1-year conditioned survival and relative survival at 3, 5 and 10 years.

Results: Our crude incidence rate was 9.13 cases/100,000 inhabitants for invasive and 2.59 for "in situ" melanomas. A statistically significant increase in incidence was found for melanomas of less than 1 mm in Breslow index and in males. 10-year observed and relative survival rates were 64.1 and 83.1%, respectively.

Conclusions: We found an increasing trend in the incidence of low-risk melanoma and a survival rate similar to that reported elsewhere in Europe.

Keywords: Epidemiology; Incidence; Melanoma; Registries; Survival; Trends.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Incidence
  • Kaplan-Meier Estimate
  • Male
  • Melanoma / epidemiology*
  • Melanoma, Cutaneous Malignant
  • Middle Aged
  • Registries
  • Skin Neoplasms / epidemiology*
  • Spain / epidemiology
  • Young Adult