Melanoma Patient Advocacy for Chicago Skin of Steel strives
to provoke revolutionary change in how people and institutions respond
to Melanoma, which is the world's fastest growing cancer.
We are dedicated to making Chicago a destination for comprehensive Melanoma Awareness and Research.
This
dedication is based on the research of valued institutions, such as the
American Academy of Dermatology and the Mayo Clinic, which found that
Melanoma patient survival is directly proportional to proximity of
quality care.
We are focused on: Awareness
Fostering positive and long lasting change in attitudes, behavior and habits relative to the sun
Maximizing skin cancer prevention and early detection practices for a variety of demographics
Securing the latest treatments for every patient with Melanoma
ResearchFast tracking resources that develop comprehensive care for Melanoma patients, particularly in the Midwest
Supporting collaboration between medical research, industry and government for new lines of Melanoma research Encouraging systemic and targeted therapy combinations that increase treatment sequence options, while cures continue to be sought
* Skin of Steel is an IRS designated 501(c)(3)
| Spotlight on Chicago Melanoma ResearchAug 20, 2010- Fishing for Melanoma: Dr. Pedram Gerami's Research
Although the clinical and pathologic diagnosis of some melanomas is clear-cut, there are many histopathologic simulators of melanoma that pose problems. Over-diagnosis of melanoma can lead to inappropriate therapy and psychologic burdens, whereas under-diagnosis can lead to inadequate treatment of a deadly cancer. We used existing data on DNA copy number alterations in melanoma to assemble panels of fluorescence in situ hybridization (FISH) probes suitable for the analysis of paraffin-embedded tissue. Using FISH data from a training set of 301 tumors, we established a discriminatory algorithm and validated it on an independent set of 169 unequivocal nevi and melanomas as well as 27 cases with ambiguous pathology, for which we had long-term follow-up data. An algorithm-using signal counts from a combination of 4 probes targeting chromosome 6p25, 6 centromere, 6q23, and 11q13 provided the highest diagnostic discrimination. This algorithm correctly classified melanoma with 86.7% sensitivity and 95.4% specificity in the validation cohort. The test also correctly identified as melanoma all 6 of 6 cases with ambiguous pathology that later metastasized. There was a significant difference in the metastasis free survival between test-positive and negative cases with ambiguous pathology (P=0.003). Sufficient chromosomal alterations are present in melanoma that a limited panel of FISH probes can distinguish most melanomas from most nevi, providing useful diagnostic information in cases that cannot be classified reliably by current methods. As a diagnostic aid to traditional histologic evaluation, this assay can have significant clinical impact and improve classification of melanocytic neoplasms with conflicting morphologic criteria.
For more information contact:
Dr. Pedram Gerami
Assistant Professor of Dermatology
Northwestern University, Feinberg School of Medicine
Chicago, IL
Pedram.Gerami@nmff.org
Dr. Gerami initiated the molecular diagnostics lab at Northwestern University, which is one of the few labs internationally using fluorescense in situ hybridization as a routine diagnostic tool in the evaluation of melanocytic neoplasms.
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Visitors **Disclaimer:
Skin of Steel is devoted to educational purposes only and is not
intended to replace or substitute professional medical care.
Information provided by SOS should not be used for diagnosing or
treating a skin problem or disease. If you have or suspect you have a
skin problem please consult with a dermatologist, or other qualified
professional healthcare provider.