Identification of patients at risk of metastasis using a prognostic 31-gene expression profile in subpopulations of melanoma patients with favorable outcomes.

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Identification of patients at risk of metastasis using a prognostic 31-gene expression profile in subpopulations of melanoma patients with favorable outcomes by standard criteria  Brian R. Gastman, MD, Pedram Gerami, MD, Sarah J. Kurley, PhD, Robert W. Cook, PhD, Sancy Leachman, MD, PhD, John T. Vetto, MD  Journal of the American Academy of Dermatology  Volume 80, Issue 1, Pages 149-157.e4 (January 2019) DOI: 10.1016/j.jaad.2018.07.028 Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 The 31-gene expression profile (31-GEP) class and correlated survival outcomes of the cohort of 690 patients with cutaneous melanoma (CM). Recurrence-free survival (RFS) (A), distant metastasis-free survival (DMFS) (B), and melanoma-specific survival (MSS) (C) rates for 690 patients were obtained by using molecular 31-GEP subclassification in Kaplan-Meier analysis. The tables below the curves show the number of patients with each 31-GEP class, 5-year survival rates for the outcome with 95% confidence intervals (CIs), and number of events with percentages of the class experiencing the event. P values were determined by the log-rank test. Journal of the American Academy of Dermatology 2019 80, 149-157.e4DOI: (10.1016/j.jaad.2018.07.028) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 Kaplan-Meier analysis of sentinel lymph node–negative (SLN neg) patients and 31-gene expression panel (31-GEP) class in the cohort of 690 patients with cutaneous melanoma (CM). Recurrence-free survival (RFS) (A), distant metastasis-free survival (DMFS) (B), and melanoma-specific survival (MSS) (C) rates for patients with negative SLN biopsy results (n = 259) using molecular 31-GEP subclassification in Kaplan-Meier analysis. The tables below the curves show the number of patients with each 31-GEP class, 5-year survival rates for the outcome with 95% confidence intervals (CIs), and number of events with percentages of the class experiencing the event. P values determined by the log-rank test. Journal of the American Academy of Dermatology 2019 80, 149-157.e4DOI: (10.1016/j.jaad.2018.07.028) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Fig 3 Survival outcomes for patients with stage I and IIA cutaneous melanoma (CM) with molecular classification by the 31-gene expression panel (31-GEP) test. Recurrence-free survival (RFS) (A), distant metastasis-free survival (DMFS) (B), and melanoma-specific survival (MSS) (C) rates for patients with stage I and IIA disease (n = 393) with use of molecular 31-GEP subclassification in Kaplan-Meier analysis. The tables below the curves show the number of patients with each 31-GEP class, 5-year survival rates for the outcome with 95% confidence intervals (CIs), and number of events with percentages of the class experiencing the event. Journal of the American Academy of Dermatology 2019 80, 149-157.e4DOI: (10.1016/j.jaad.2018.07.028) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions

Supplemental Fig 1 Survival outcomes for patients with cutaneous melanoma (CM) with T1 (≤1 mm) tumors with use of molecular classification by the 31-gene expression panel (31-GEP) test. Recurrence-free survival (RFS) (A) and distant metastasis-free survival (DMFS) (B) rates for patients with tumors with a thickness of 1 mm or less (n = 281) with use of molecular 31-GEP subclassification in Kaplan-Meier analysis. The table below the curve shows number of patients with each 31-GEP class, 5-year survival rates with 95% confidence intervals (CIs), and number of events with percentages of the class experiencing the event. P values were determined by the log-rank test. Journal of the American Academy of Dermatology 2019 80, 149-157.e4DOI: (10.1016/j.jaad.2018.07.028) Copyright © 2018 American Academy of Dermatology, Inc. Terms and Conditions