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
| Â | Cutaneous melanoma | Â | Acral melanoma | Â | ||
|---|---|---|---|---|---|---|
| Â | 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 | Â | 3 | 32 | Â |
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) | Â | 2 (67) | 14 (44) | Â |
Cases at least stage III at diagnosis | 41 (30) | 3 (75) | Â | 3 (100) | 13 (41) | Â |
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) | Â | 1 (33) | 5 (16) | Â |
Lymphatic invasion present | 8 (6) | 2(50) | Â | 0 (0) | 6 (19) | Â |
Neurotropism present | 3 (2) | 0 (0) | Â | 0 (0) | 4 (13) | Â |
Satellites present | 5 (4) | 0 (0) | Â | 0 (0) | 3 (9) | Â |
Primary tumor H&E slides reviewed | 44 (32) | 4 (100) | Â | 3 (100) | 23 (72) | Â |
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) |  |