Impact of Non-Steroidal Anti-Inflammatory Drugs on Recurrence and Survival after Melanoma Surgery: A Cohort Study

Cancer Invest. 2020 Aug;38(7):415-423. doi: 10.1080/07357907.2020.1793351. Epub 2020 Jul 23.

Abstract

The aim of the study was to investigate if there was an association between intraoperative NSAID use and recurrence or survival. A cohort of patients who underwent sentinel lymph node biopsy for the treatment of cutaneous melanoma was retrospectively recruited. After applying inclusion and exclusion criteria, 516 were included (NSAIDs = 307). The 10-year melanoma-specific survival was 63.2%. Log-rank test showed no statistically significant differences in time to treatment failure, melanoma-specific survival, disease-free survival, and overall survival between the study groups. The current study did not support the use of intraoperative NSAIDs in preventing death or recurrence in patients with melanoma.

Keywords: Anti-inflammatory agents; melanoma; non-steroidal; recurrence; survival analysis.

MeSH terms

  • Aged
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use*
  • Cohort Studies
  • Female
  • Humans
  • Isoxazoles / therapeutic use
  • Kaplan-Meier Estimate
  • Ketorolac / therapeutic use
  • Male
  • Melanoma / mortality
  • Melanoma / pathology*
  • Melanoma / surgery*
  • Melanoma, Cutaneous Malignant
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Perioperative Period
  • Piroxicam / analogs & derivatives
  • Piroxicam / therapeutic use
  • Retrospective Studies
  • Sentinel Lymph Node Biopsy
  • Skin Neoplasms / mortality
  • Skin Neoplasms / pathology*
  • Skin Neoplasms / surgery*
  • Treatment Outcome

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Isoxazoles
  • Piroxicam
  • parecoxib
  • Ketorolac
  • tenoxicam