Table 3 Details of cutaneous and acral melanoma by UVR and non-UVR signature

From: Unexpected UVR and non-UVR mutation burden in some acral and cutaneous melanomas

 

Cutaneous melanoma

 

Acral melanoma

 
 

UVR signature N (%)

Non-UVR signature N (%)

Difference in means (95% CI)

UVR signature N (%)

Non-UVR signature N (%)

Difference in means (95% CI)

Cases

136

4

 

3

32

 

Gender

 Male

86

2

 

3

11

 

 Female

49

2

 

0

21

 

Age at time of primary (years)

 Mean (s.d.)

57.3 (18.6)

59.1 (7.9)

1.8 (−10.1, 13.6)

60.9 (3.2)

70.5 (13.6)

9.6 (3.0, 16.2)

 Q1, Median, Q3

46, 59.0, 71

56, 59.8, 63

 

59, 61.2, 62

63, 71.8, 80

 

Breslow thickness (mm)

 Mean (s.d.)

4.1 (4.0)

9.5 (8.0)

5.3 (−7.3, 18.0)

2.8 (1.4)

4.9 (3.2)

2.1 (−0.5, 4.7)

 Q1, Median, Q3

1.4, 2.7, 5.2

6.5, 8.6, 11.6

 

2.2, 3.2 3.6

2.6, 4.3, 6.3

 

Mitoses (/mm2)

 Mean (s.d.)

7.9 (8.1)

14.0 (11.9)

6.1 (−12.6, 24.7)

2.7 (0.6)

4.5 (3.6)

1.8 (0.4, 3.3)

 Q1, Median, Q3

3, 6.0, 10

5, 10.5, 19.5

 

2.5, 3, 3

2, 4.0, 6.5

 

Ulceration present

42 (31)

3 (75)

 

2 (67)

14 (44)

 

Cases at least stage III at diagnosis

41 (30)

3 (75)

 

3 (100)

13 (41)

 

WHO melanoma subtype

 NM

59 (43)

1(25)

 

0 (0)

3 (9)

 

 SSM

48 (35)

3 (75)

 

0 (0)

0 (0)

 

 DM

9 (7)

0 (0)

 

0 (0)

2 (6)

 

 AL

0 (0)

0 (0)

 

3 (100)

30 (85)

 

 LM

3 (2)

0 (0)

 

0 (0)

0 (0)

 

 Not classified/unknown primary

17 (13)

0 (0)

 

0 (0)

0 (0)

 

Vascular invasion present

8 (6)

2 (50)

 

1 (33)

5 (16)

 

Lymphatic invasion present

8 (6)

2(50)

 

0 (0)

6 (19)

 

Neurotropism present

3 (2)

0 (0)

 

0 (0)

4 (13)

 

Satellites present

5 (4)

0 (0)

 

0 (0)

3 (9)

 

Primary tumor H&E slides reviewed

44 (32)

4 (100)

 

3 (100)

23 (72)

 

TIL distribution

 Negative

9 (20)

3 (75)

 

0 (0)

6 (26)

 

 Focal

25 (57)

1 (25)

 

3 (100)

10 (43)

 

 Multifocal

8 (18)

0 (0)

 

0 (0)

7 (30)

 

 Diffuse

2 (5)

0 (0)

 

0 (0)

0 (0)

 

TIL density

 Negative

9 (20)

3 (75)

 

0 (0)

6(26)

 

 Mild

27 (61)

1 (25)

 

3 (100)

13 (57)

 

 Moderate

8 (18)

0 (0)

 

0 (0)

4 (17)

 

 Marked

0 (0)

0 (0)

 

0 (0)

0 (0)

 

Pigment distribution

 0%

23(52)

2 (50)

 

1 (33)

11 (48)

 

 0–25%

14 (32)

1 (25)

 

2 (67)

9 (39)

 

 25–50%

5 (11)

1 (25)

 

0 (0)

2 (9)

 

 >50%

2 (5)

0 (0)

 

0 (0)

1 (4)

 

Pigment density

 Negative

23 (52)

2 (50)

 

1 (33)

11 (48)

 

 Mild

8 (18)

0 (0)

 

0 (0)

4 (17)

 

 Moderate

7 (16)

2 (50)

 

2 (67)

7 (30)

 

 Marked

6 (14)

0 (0)

 

0 (0)

1 (4)

 

Regression in melanoma

 0%

34 (77)

4 (100)

 

1(33)

11 (48)

 

 0–25%

7 (16)

0 (0)

 

2 (67)

10 (43)

 

 25–50%

3 (7)

0 (0)

 

0 (0)

1 (4)

 

 >50%

0 (0)

0 (0)

 

0 (0)

1 (4)

 

Cell size

 < × 2 lymphocyte

0 (0)

0 (0)

 

0 (0)

1 (4)

 

 = × 2 lymphocyte

2 (5)

0 (0)

 

0 (0)

1 (4)

 

 > × 2 lymphocyte

42 (95)

4 (100)

 

3 (100)

21 (91)

 

Cell shape

 Epithelioid

25 (57)

3 (75)

 

1 (33)

10 (43)

 

 Mixed

13 (30)

1 (25)

 

2 (67)

9 (39)

 

 Spindled

6 (14)

0 (0)

 

0 (0)

4 (17)

 

Tumor border

 Pushing

30 (68)

4 (100)

 

1 (33)

14 (61)

 

 Infiltrative

13 (30)

0 (0)

 

2 (67)

8 (35)

 

 Unable to assess

1 (2)

0 (0)

 

0 (0)

1 (4)

 

Solar elastosis

 Absent

7 (16)

4 (100)

 

3 (100)

23 (100)

 

 Mild

13 (30)

0 (0)

 

0 (0)

0 (0)

 

 Moderate

15 (34)

0 (0)

 

0 (0)

0 (0)

 

 Severe

8 (18)

0 (0)

 

0 (0)

0 (0)

 

 Unable to assess

1 (2)

0 (0)

 

0 (0)

0 (0)

 

Lateral circumscription

 Discontinuous

0 (0)

0 (0)

 

0 (0)

0 (0)

 

 Gradual

16 (36)

1 (25)

 

3 (100)

11 (48)

 

 Abrupt

19 (43)

2 (50

 

0 (0)

9 (39)

 

 Unable to assess

9 (20)

1 (25)

 

0 (0)

3 (13)

 

Upward spread

 Absent

13 (30)

0 (0)

 

1 (33)

15 (65)

 

 Occasional

20 (45)

3 (75)

 

1 (33)

2 (9)

 

 Moderate

2 (5)

0 (0)

 

1 (33)

4 (17)

 

 Marked

0 (0)

0 (0)

 

0 (0)

1 (4)

 

 Unable to assess

9 (20)

1 (25)

 

0 (0)

1 (4)

 
  1. Abbreviations: AL, acral lentiginous; SSM, superficial spreading melanoma; NM, nodular melanoma; DM, desmoplastic melanoma; LM, lentigo maligna; TILS, tumor-infiltrating lymphocytes.
  2. Values are expressed as n (%) unless otherwise noted. Total percentages that do not add up to 100% have missing values.