CLARK´S LEVELS, RECURRENCES AND
SURVIVAL IN CUTANEOUS
MALIGNAN MELANOMA
Rosa Rodríguez-Barboza*, Juan Díaz-Plasencia**
SUMMARY
The cutaneous melanoma is a malignant transformation of the epidermal melanocytic, its
incidence has been increased in the last years. To determine the influence of Clarck's
levels in long term survival and 5 years recurrence rate, its relationship with regional
lymph node metastasis and the rates of 5 years survival and recurrence after surgery we
carried out a study in 46 cases between 1966 and 1996 at Belen, Regional Docente and
Victor Lazarte Echegaray hospitals in Trujillo, Peru. In this study we conclude that there
was a direct relationship between the level of vertical invasion and the frequency of
regional lymph node metastasis as well as with the recurrence rate and this relationship
was inverse to five years survivall rate. The bigger knowledge of this illness allows to
make a better diagnosis and precocious therapeutics.
Key Words: Melanoma, Clark's levels, Recurrence, Survival.
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