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Thus, we reviewed medical records for detailed site in a population\u2010based retrospective Swedish patient cohort diagnosed with primary invasive melanoma 1976\u20132003 (<jats:italic>n<\/jats:italic>\u2009=\u20095,973). We followed the patients from date of diagnosis until death, emigration or December 31<jats:sup>st<\/jats:sup> 2013, and evaluated melanoma\u2010specific survival by subsite in a multivariable regression model adjusting for established prognostic factors. We found that melanoma on chronic UVR exposure sites (face, dorsum of hands; adjusted HR 0.6; CI 0.4\u20130.7) and moderately intermittent UVR sites (lateral arms, lower legs, dorsum of feet; HR 0.7; CI 0.6\u20130.8) were associated with a favorable prognosis compared with highly intermittent sites (chest, back, neck, shoulders and thighs). Further, melanoma on poorly visible skin sites upon self\u2010examination (scalp, retroauricular area, back, posterior upper arms and thighs, buttocks, pubic area; HR 1.3; CI 1.1\u20131.5) had a worse prognosis than those on easily visible sites (face, chest, abdomen, anterior upper arms and thighs, lower arms and legs, dorsum of hands and feet, palms). In conclusion, highly intermittent UVR exposure sites and poor skin visibility presumably correlate with reduced melanoma survival, independent of established tumor characteristics. A limitation of the study was the lack of information on actual individual UVR exposure.<\/jats:p>","DOI":"10.1002\/ijc.30843","type":"journal-article","created":{"date-parts":[[2017,6,21]],"date-time":"2017-06-21T02:22:49Z","timestamp":1498011769000},"page":"1345-1354","source":"Crossref","is-referenced-by-count":10,"title":["Primary tumor sites in relation to ultraviolet radiation exposure and skin visibility correlate with survival in cutaneous melanoma"],"prefix":"10.1002","volume":"141","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4549-808X","authenticated-orcid":false,"given":"Daniela","family":"Gordon","sequence":"first","affiliation":[{"name":"Department of Medicine Solna Clinical Epidemiology Unit, Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johan","family":"Hansson","sequence":"additional","affiliation":[{"name":"Department of Oncology and Pathology Karolinska Institutet, Karolinska University Hospital Stockholm Sweden"},{"name":"Department of Oncology Karolinska University Hospital Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandra","family":"Eloranta","sequence":"additional","affiliation":[{"name":"Department of Medical Epidemiology and Biostatistics Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Max","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences at Danderyd Hospital Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Gillgren","sequence":"additional","affiliation":[{"name":"Department of Clinical Science and Education S\u00f6dersjukhuset, Karolinska Institutet Stockholm Sweden"},{"name":"Department of Surgery S\u00f6dersjukhuset Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin E.","family":"Smedby","sequence":"additional","affiliation":[{"name":"Department of Medicine Solna Clinical Epidemiology Unit, Karolinska Institutet Stockholm Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,7,12]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"International Classification of Diseases. 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