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The incidence and thickness of cutaneous malignant melanoma in New Zealand 1994–2004

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Authors:
Summary:

New Zealand Health Information Service data were examined for all registrations concerning cutaneous malignant melanoma (n=19,435) from 1994–2004. The incidence of thick melanoma did not decrease during 1994–2004. Significant associations were found between age, gender, ethnic group, type of melanoma, and the thickness of melanoma at diagnosis. Of those diagnosed with melanoma, the proportion with thick melanoma (>3.0 mm) was greater for older than younger people, for males compared with females, for Māori compared with non-Māori (despite the lower incidence in Māori), and for those diagnosed with nodular melanoma compared with other types of melanoma.

Comment:
Tumour thickness is the most significant prognostic factor for survival of patients with localised cutaneous melanoma. Despite low numbers, Māori with melanoma appear to be at risk for having a thick melanoma and possibly poor prognosis. Strategies to reduce the risk of melanoma, to reduce progression to thick melanoma and to improve detection and treatment of thick melanomas must include Māori.
Reference: N Z Med J. 2008;121(1279):18-26
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

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