Malignant melanoma in black Americans. A trend toward improved survival
N. J. Crowley, R. Dodge, R. T. Vollmer and H. F. Seigler
Department of Surgery, Duke University Medical Center, Durham, NC 27710.
A search of patients seen at the Duke University Melanoma Clinic (Durham,
NC) identified 79 black patients. Five- and 10-year survival was 35% and
26%, respectively. Patients presenting in the recent decade had less
advanced disease, resulting in an improved 5-year survival of 49%.
Five-year survival for white patients was 74%. Black patients had more
negative prognostic indicators when compared with white patients. In a
multivariate analysis, however, race was not a prognostic indicator,
suggesting melanoma is not inherently more aggressive in black patients.
The trend during the past decade has been for black patients to present
with less advanced disease, with improved survival. This may be related to
better appreciation of the disease by patients and physicians alike.
Continued emphasis on education and early diagnosis may result in further
improvement for black patients with melanoma.
