Multiple primary melanoma in the elderly

Adam C. Krajewski, Donna R. Hart, Tina J Hieken

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


Background Few data exist regarding surveillance for multiple primary melanoma (MPM) in elderly patients or whether the incidence and risk factors are the same as for younger patients. Thus, we studied the frequency and characteristics of MPM in the elderly melanoma patients. Methods From our prospective melanoma registry, we studied 222 consecutive patients aged 65 years or older at their initial melanoma diagnosis. Mean follow-up was 65 ± 3 months. Results Median age was 76 years. Twenty-two patients (10%) developed a second primary melanoma and 8 (4%) of 3 or more primaries. 82% of second primaries (18 of 22) were the same or thinner than the index melanoma, yet 50% of third primary melanomas (4 out of 8) were thicker. Only prior dysplastic nevi (P

Original languageEnglish (US)
Pages (from-to)84-88
Number of pages5
JournalAmerican Journal of Surgery
Issue number1
StatePublished - Jan 1 2016


  • Dysplastic nevi
  • Elderly
  • Melanoma
  • Multiple primary melanoma

ASJC Scopus subject areas

  • Surgery


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