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Advances in Brief

Micropthalmia Transcription Factor: A New Prognostic Marker in Intermediate-thickness Cutaneous Malignant Melanoma

George I. Salti, Taline Manougian, Miguel Farolan, Anne Shilkaitis, Dibyen Majumdar and Tapas K. Das Gupta
George I. Salti
Departments of Surgical Oncology [G. I. S., T. M., A. S., T. K. D. G.] and Pathology [M. F.], College of Medicine, and Department of Mathematics, Statistics, and Computer Sciences [D. M.], University of Illinois at Chicago, Chicago, Illinois 60612
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Taline Manougian
Departments of Surgical Oncology [G. I. S., T. M., A. S., T. K. D. G.] and Pathology [M. F.], College of Medicine, and Department of Mathematics, Statistics, and Computer Sciences [D. M.], University of Illinois at Chicago, Chicago, Illinois 60612
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Miguel Farolan
Departments of Surgical Oncology [G. I. S., T. M., A. S., T. K. D. G.] and Pathology [M. F.], College of Medicine, and Department of Mathematics, Statistics, and Computer Sciences [D. M.], University of Illinois at Chicago, Chicago, Illinois 60612
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Anne Shilkaitis
Departments of Surgical Oncology [G. I. S., T. M., A. S., T. K. D. G.] and Pathology [M. F.], College of Medicine, and Department of Mathematics, Statistics, and Computer Sciences [D. M.], University of Illinois at Chicago, Chicago, Illinois 60612
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Dibyen Majumdar
Departments of Surgical Oncology [G. I. S., T. M., A. S., T. K. D. G.] and Pathology [M. F.], College of Medicine, and Department of Mathematics, Statistics, and Computer Sciences [D. M.], University of Illinois at Chicago, Chicago, Illinois 60612
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Tapas K. Das Gupta
Departments of Surgical Oncology [G. I. S., T. M., A. S., T. K. D. G.] and Pathology [M. F.], College of Medicine, and Department of Mathematics, Statistics, and Computer Sciences [D. M.], University of Illinois at Chicago, Chicago, Illinois 60612
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DOI:  Published September 2000
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    Fig. 1.

    Representative immunostaining of different levels of Mitf expression in two primary cutaneous malignant melanomas.

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    Fig. 2.

    Kaplan-Meier survival curves of the entire population. A, DFS. B, OS.

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    Fig. 3.

    Kaplan-Meier survival curves that compare patients with different levels of Mitf expression. DFS and OS were significantly better for those patients whose melanomas stained positive for Mitf [A (DFS), P = 0.0086; B (OS), P = 0.0054)] and for those patients whose melanomas expressed >25% Mitf[ C (DFS), P = 0.023; D (OS), P = 0.039]. DFS was significantly better for those patients whose melanomas expressed> 50% Mitf (E, P = 0.035). OS tended to be better for those patients whose melanomas expressed >50% Mitf (F, P = 0.054).

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  • Table 1

    Influence of Mitf expression on DFS and OS

    Mitf expressionNDFSaOSa
      01171.36 (P = 0.048)80.89 (P = 0.077)
    +117162.32172.73
    +213119.62120.05
    +313 b b
    +49105.8106.8
    Absent1171.36 (P = 0.0086)80.89 (P = 0.0054)
    Present52186.78187.9
    ≤25%28127.14 (P = 0.023)136.68 (P = 0.039)
    >25%35137.84147.32
    ≤50%41127.27 (P = 0.035)133.37 (P = 0.054)
    >50%22212.57212.64
    • a Mean values in months.

    • b All observations were censored; mean values were not calculated.

  • Table 2

    Multivariate Cox regression analysis of all prognostic variables

    VariableDFSOS
    Thickness 0.016 a 0.008
    Ulceration0.3820.586
    Histology0.3590.366
    Location of primary tumor0.5620.335
    Mitoses/mm2 0.035 0.033
    Nodal status 0.012 0.016
    Mitf expression 25% 0.008 0.011
    • a Significance shown in bold.

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September 2000
Volume 60, Issue 18
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Micropthalmia Transcription Factor: A New Prognostic Marker in Intermediate-thickness Cutaneous Malignant Melanoma
George I. Salti, Taline Manougian, Miguel Farolan, Anne Shilkaitis, Dibyen Majumdar and Tapas K. Das Gupta
Cancer Res September 15 2000 (60) (18) 5012-5016;

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Micropthalmia Transcription Factor: A New Prognostic Marker in Intermediate-thickness Cutaneous Malignant Melanoma
George I. Salti, Taline Manougian, Miguel Farolan, Anne Shilkaitis, Dibyen Majumdar and Tapas K. Das Gupta
Cancer Res September 15 2000 (60) (18) 5012-5016;
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