A systematic review and meta-analysis of animal-type melanoma

Ritva Vyas, Jesse J. Keller, Kord Honda, Kevin D. Cooper, Meg R. Gerstenblith

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Background Animal-type melanoma is a rare subtype of melanoma with heavily pigmented dermal epithelioid and spindled melanocytes. Its classification as a subtype of melanoma versus a borderline melanocytic tumor is debated. Objectives Our primary objective was to characterize the demographics, clinical presentation, histopathology, management, and outcomes of patients with animal-type melanoma. Methods We performed a systematic review and meta-analysis of the English-language literature on animal-type melanoma. Results We identified 190 cases of animal-type melanoma. They occurred equally in men and women, with Caucasians (53.7%) most commonly affected. The median Breslow depth was 3.8 mm; ulceration was reported present in 15.8%; and dermal mitoses greater than or equal to 1/mm2 was reported in 27.4%. The most common initial management was wide local excision with sentinel lymph node biopsy (55.7%). In all, 78 patients underwent sentinel lymph node biopsy with 41.0% positivity rate. A total of 32 patients underwent completion lymph node dissection with 34.4% positivity rate. Locoregional recurrence was reported in 15 patients, recurrence with distant metastases in 6 patients, and death in 5 patients. Limitations Data were obtained from small studies with limited follow-up. There is no universally accepted definition of animal-type melanoma. Conclusion Prospective studies with complete staging information and molecular profiling may allow further characterization of this tumor.

Original languageEnglish (US)
Pages (from-to)1031-1039
Number of pages9
JournalJournal of the American Academy of Dermatology
Volume73
Issue number6
DOIs
StatePublished - Dec 2015
Externally publishedYes

Keywords

  • animal type melanoma
  • equine-type melanoma
  • melanoma with prominent pigment synthesis
  • pigment synthesizing melanoma
  • pigmented epithelioid melanocytoma

ASJC Scopus subject areas

  • Dermatology

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