{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:32Z","timestamp":1753887572091,"version":"3.41.2"},"reference-count":22,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>RESUMO Objetivo: Avaliar caracter\u00edsticas do melanoma em idosos. M\u00e9todo: Pesquisa retrospectiva mediante revis\u00e3o de prontu\u00e1rios de idosos diagnosticados com melanoma cut\u00e2neo prim\u00e1rio, no per\u00edodo de 2013 a 2017, atendidos no Hospital Erasto Gaertner, em Curitiba-Paran\u00e1. Resultados: Amostra com 139 pacientes, mulheres (52,5%), m\u00e9dia de 70,3 anos de idade, com les\u00e3o em membro superior ou membro inferior (32,3%) e cabe\u00e7a (24,4%), sinais de ulcera\u00e7\u00e3o (33,8%) e classifica\u00e7\u00e3o em tipo histol\u00f3gico nodular (29,5%), extensivo superficial (27,3%) e acral (11,5%). M\u00e9dia do \u00edndice de Breslow de 3,7 mm. Met\u00e1stases ocorreram em 33% dos pacientes, para linfonodos (36%) e sistema nervoso central (20%). Pesquisa do linfonodo sentinela foi realizada em 41,7% e tratamento cir\u00fargico isolado em 70% dos casos. Houve recidiva em 34,5% pacientes e 17,9% evolu\u00edram com \u00f3bito. Esses achados apontam caracter\u00edsticas progn\u00f3sticas sombrias relacionadas ao diagn\u00f3stico e tratamento tardio da neoplasia. Conclus\u00f5es: Melanoma em membros e cabe\u00e7a, \u00edndice de Breslow intermedi\u00e1rio, metast\u00e1tico para linfonodos e sistema nervoso central, recidiva e tem desfecho fatal. H\u00e1 necessidade de direcionar estrat\u00e9gias para melhor abordagem da doen\u00e7a em idosos, como preven\u00e7\u00e3o, detec\u00e7\u00e3o precoce e oferta de tratamento uniforme e adequado.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202441","type":"journal-article","created":{"date-parts":[[2020,6,15]],"date-time":"2020-06-15T12:56:48Z","timestamp":1592225808000},"source":"Crossref","is-referenced-by-count":9,"title":["Caracter\u00edsticas do melanoma em idosos"],"prefix":"10.1590","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9982-6408","authenticated-orcid":false,"given":"K\u00e1tia Sheylla Malta","family":"Purim","sequence":"first","affiliation":[{"name":"Universidade Positivo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Pedro Ceccon","family":"Bonetti","sequence":"additional","affiliation":[{"name":"Universidade Positivo, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliane Yumi 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