Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population

Background: Recent data have shown an inverse association between serum 25-hydroxyvitamin D concentration and incidence of several cancers, including cutaneous malignant melanoma (CMM). In addition, lower serum 25-hydroxyvitamin D levels have been associated with thicker or higher stage melanomas a...

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Autores principales: Angeliki Befon, Alexander C. Katoulis, Sofia Georgala, Andreas Katsampas, Vasiliki Chardalia, Aggeliki Melpidou, Vasiliki Tzanetakou, Vasiliki Chasapi, Dorothea Polydorou, Clio Desinioti, Micaela Plaka, Dimitris Rigopoulos, Alexandros J. Stratigos
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Publicado: Mattioli1885 2019
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spelling oai:doaj.org-article:b00975b27f6a4666ac688eefc7aac2312021-11-17T08:29:00ZSerum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population10.5826/dpc.1001a102160-9381https://doaj.org/article/b00975b27f6a4666ac688eefc7aac2312019-12-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1025https://doaj.org/toc/2160-9381 Background: Recent data have shown an inverse association between serum 25-hydroxyvitamin D concentration and incidence of several cancers, including cutaneous malignant melanoma (CMM). In addition, lower serum 25-hydroxyvitamin D levels have been associated with thicker or higher stage melanomas and worse survival in observational studies. Materials and Methods: Ninety-nine patients diagnosed with primary CMM and 97 matched healthy controls entered the study. Demographic characteristics, risk factors for CMM, and clinical and histological characteristics were recorded for patients with primary CMM. Total serum 25-hydroxyvitamin D levels of melanoma patients measured by fully automated chemiluminescent vitamin D total immunoassay (Elecsys vitamin D total, Roche) at the time of diagnosis were compared with those of healthy controls. In addition, we tested the association of serum total 25-hydroxyvitamin D levels at melanoma diagnosis with known risk and prognostic factors for CMM. Results: Of the melanoma patients, 49 (49.49%) had deficient serum total 25-hydroxyvitamin D levels (<20 ng/mL), 23 (23.23%) had insufficient levels (21-29 ng/mL), and 27 (27.27%) had adequate levels (>30 ng/mL). The median serum total 25-hydroxyvitamin D levels were significantly lower in melanoma patients (20.62 ng/mL) compared with healthy controls (24.71 ng/mL), but statistical significance was not reached (chi-square test, P = 0.051) No statistically significant association was found between serum total 25-hydroxyvitamin D levels and demographic characteristics; risk factors for CMM; prognostic factors, such as Breslow thickness and ulceration; as well as clinical characteristics, such as melanoma stage, clinical type, and location. Conclusions: Lower serum 25-hydroxyvitamin D levels were found in our Greek cohort of melanoma patients compared with healthy controls, without reaching, however, statistical significance; these levels were not statistically associated with established risk and prognostic factors for CMM. Angeliki BefonAlexander C. KatoulisSofia GeorgalaAndreas KatsampasVasiliki ChardaliaAggeliki MelpidouVasiliki TzanetakouVasiliki ChasapiDorothea PolydorouClio DesiniotiMicaela PlakaDimitris RigopoulosAlexandros J. StratigosMattioli1885articlemalignant melanomavitamin DBreslow thicknessulcerationrisk factorsprognosisDermatologyRL1-803ENDermatology Practical & Conceptual (2019)
institution DOAJ
collection DOAJ
language EN
topic malignant melanoma
vitamin D
Breslow thickness
ulceration
risk factors
prognosis
Dermatology
RL1-803
spellingShingle malignant melanoma
vitamin D
Breslow thickness
ulceration
risk factors
prognosis
Dermatology
RL1-803
Angeliki Befon
Alexander C. Katoulis
Sofia Georgala
Andreas Katsampas
Vasiliki Chardalia
Aggeliki Melpidou
Vasiliki Tzanetakou
Vasiliki Chasapi
Dorothea Polydorou
Clio Desinioti
Micaela Plaka
Dimitris Rigopoulos
Alexandros J. Stratigos
Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population
description Background: Recent data have shown an inverse association between serum 25-hydroxyvitamin D concentration and incidence of several cancers, including cutaneous malignant melanoma (CMM). In addition, lower serum 25-hydroxyvitamin D levels have been associated with thicker or higher stage melanomas and worse survival in observational studies. Materials and Methods: Ninety-nine patients diagnosed with primary CMM and 97 matched healthy controls entered the study. Demographic characteristics, risk factors for CMM, and clinical and histological characteristics were recorded for patients with primary CMM. Total serum 25-hydroxyvitamin D levels of melanoma patients measured by fully automated chemiluminescent vitamin D total immunoassay (Elecsys vitamin D total, Roche) at the time of diagnosis were compared with those of healthy controls. In addition, we tested the association of serum total 25-hydroxyvitamin D levels at melanoma diagnosis with known risk and prognostic factors for CMM. Results: Of the melanoma patients, 49 (49.49%) had deficient serum total 25-hydroxyvitamin D levels (<20 ng/mL), 23 (23.23%) had insufficient levels (21-29 ng/mL), and 27 (27.27%) had adequate levels (>30 ng/mL). The median serum total 25-hydroxyvitamin D levels were significantly lower in melanoma patients (20.62 ng/mL) compared with healthy controls (24.71 ng/mL), but statistical significance was not reached (chi-square test, P = 0.051) No statistically significant association was found between serum total 25-hydroxyvitamin D levels and demographic characteristics; risk factors for CMM; prognostic factors, such as Breslow thickness and ulceration; as well as clinical characteristics, such as melanoma stage, clinical type, and location. Conclusions: Lower serum 25-hydroxyvitamin D levels were found in our Greek cohort of melanoma patients compared with healthy controls, without reaching, however, statistical significance; these levels were not statistically associated with established risk and prognostic factors for CMM.
format article
author Angeliki Befon
Alexander C. Katoulis
Sofia Georgala
Andreas Katsampas
Vasiliki Chardalia
Aggeliki Melpidou
Vasiliki Tzanetakou
Vasiliki Chasapi
Dorothea Polydorou
Clio Desinioti
Micaela Plaka
Dimitris Rigopoulos
Alexandros J. Stratigos
author_facet Angeliki Befon
Alexander C. Katoulis
Sofia Georgala
Andreas Katsampas
Vasiliki Chardalia
Aggeliki Melpidou
Vasiliki Tzanetakou
Vasiliki Chasapi
Dorothea Polydorou
Clio Desinioti
Micaela Plaka
Dimitris Rigopoulos
Alexandros J. Stratigos
author_sort Angeliki Befon
title Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population
title_short Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population
title_full Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population
title_fullStr Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population
title_full_unstemmed Serum Total 25-Hydroxyvitamin D Levels in Patients With Cutaneous Malignant Melanoma: A Case-Control Study in a Low-Risk Southern European Population
title_sort serum total 25-hydroxyvitamin d levels in patients with cutaneous malignant melanoma: a case-control study in a low-risk southern european population
publisher Mattioli1885
publishDate 2019
url https://doaj.org/article/b00975b27f6a4666ac688eefc7aac231
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