Malignant melanoma in black Americans. A trend toward improved survival.


Journal Article

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.

Full Text

Duke Authors

Cited Authors

  • Crowley, NJ; Dodge, R; Vollmer, RT; Seigler, HF

Published Date

  • November 1991

Published In

Volume / Issue

  • 126 / 11

Start / End Page

  • 1359 - 1364

PubMed ID

  • 1747048

Pubmed Central ID

  • 1747048

International Standard Serial Number (ISSN)

  • 0004-0010

Digital Object Identifier (DOI)

  • 10.1001/archsurg.1991.01410350049008


  • eng

Conference Location

  • United States