Age Median and Range

##    Metastatic.yes.no V1
## 1:               yes 65
## 2:                no 65
##    Metastatic.yes.no V1
## 1:               yes 29
## 2:               yes 86
## 3:                no 27
## 4:                no 93

Gender

##    Metastatic.yes.no Gender  N percent
## 1:               yes      f 33   49.25
## 2:               yes      m 34   50.75
## 3:                no      f 63   60.00
## 4:                no      m 42   40.00

Number of Patients that are BRAF mutant

##                BRAF   N percent
## 1:        wild type  31   46.27
## 2:          unknown  30   44.78
## 3: mutation (V600E)   5    7.46
## 4: mutation (D594N)   1    1.49
## 5:               NA 105  156.72

Number of Patients that are NRAS mutant

##                      NRAS   N percent
##  1:             wild type  16   23.88
##  2:               unknown  42   62.69
##  3:       mutation (G12D)   1    1.49
##  4:       mutation (G13D)   1    1.49
##  5:       mutation (G12R)   1    1.49
##  6:       mutation (Q61R)   2    2.99
##  7:       mutation (G13V)   1    1.49
##  8: mutation (G13D, E63G)   1    1.49
##  9:       mutation (Q61K)   1    1.49
## 10:       mutation (G12C)   1    1.49
## 11:                    NA 105  156.72

Number of Patients that are cKIT mutant

##    c.KIT..for.exons.9.11.13.17.18.   N percent
## 1:              mutation (Exon 13)   1    1.49
## 2:                       wild type  16   23.88
## 3:               mutation (pM541L)   1    1.49
## 4:                mutation (11,13)   1    1.49
## 5:                         unknown  46   68.66
## 6:                mutation (L576P)   1    1.49
## 7:                mutation (K642E)   1    1.49
## 8:                              NA 105  156.72

Number of Patients in foot

##        Plantar Metastasis  N percent
##  1: periungual        yes 10   14.93
##  2:  subungual        yes 16   23.88
##  3:    plantar        yes  2    2.99
##  4:          3        yes 18   26.87
##  5:          1        yes  9   13.43
##  6:          2        yes  6    8.96
##  7:    unknown        yes  6    8.96
##  8:  subungual         no 43   40.95
##  9:          2         no 16   15.24
## 10:          1         no 13   12.38
## 11:         NA         no  3    2.86
## 12:          3         no 18   17.14
## 13:    unknown         no  4    3.81
## 14:    plantar         no  6    5.71
## 15:     palmar         no  2    1.90

Number of Patients for Digitum vs Planta Palma

##     Digitum.versus.Planta.Palma Metastatic.yes.no  N percent
##  1:                       Dig I               yes 19   28.36
##  2:                      Dig II               yes  5    7.46
##  3:                      planta               yes 35   52.24
##  4:                      Dig IV               yes  1    1.49
##  5:                     Dig III               yes  5    7.46
##  6:                       Dig V               yes  2    2.99
##  7:                     Dig III                no  5    4.76
##  8:                       Dig I                no 33   31.43
##  9:                      planta                no 52   49.52
## 10:                        palm                no  3    2.86
## 11:                      Dig II                no  6    5.71
## 12:                       Dig V                no  5    4.76
## 13:                      Dig IV                no  1    0.95

T staging

##     T_stage Metastatic.yes.no  N percent
##  1:      T2               yes  7   10.45
##  2:      T3               yes 27   40.30
##  3:      T4               yes 25   37.31
##  4:      T1               yes  5    7.46
##  5: unknown               yes  3    4.48
##  6:      T2                no 27   25.71
##  7:      T1                no 33   31.43
##  8:      T3                no 22   20.95
##  9: in situ                no 18   17.14
## 10:      T4                no  4    3.81
## 11: unknown                no  1    0.95

Ulceration

##        Ulceration Metastatic.yes.no  N percent
## 1:            yes               yes 33   49.25
## 2:             no               yes 26   38.81
## 3:        unknown               yes  8   11.94
## 4:             no                no 45   42.86
## 5:        unknown                no 22   20.95
## 6: not applicable                no 18   17.14
## 7:            yes                no 20   19.05

Sentinel Lymph node biopsy

##    Sentinel.lymph.node.biopsy..SLNB. Metastatic.yes.no  N percent
## 1:                          positive               yes 27   40.30
## 2:                     not performed               yes 25   37.31
## 3:                          negative               yes 15   22.39
## 4:                          negative                no 50   47.62
## 5:                     not performed                no 55   52.38

Overall survival

Overall survival mets versus no mets

calculate overall survival since first distant met

calculate overall survival for stage iv patients

analysis for clinical benefit and systemic drug

##                         Clinical.benefit..cancer.shrinks.or.remains.stable.
## First.systemic.treatment no unknown yes
##            Chemotherapy   9       1   7
##            Immunotherapy  8       3   7
##            none/others    0       0   1
##            Others         0       0   5

clinical benefit, time to next treatment, PFS

##                         Clinical.benefit..cancer.shrinks.or.remains.stable.
## First.systemic.treatment no unknown yes
##            Chemotherapy   9       1   7
##            Immunotherapy  8       3   7
##            none/others    0       0   1
##            Others         0       0   5
##    First.systemic.treatment             V1
## 1:             Chemotherapy  88.94118 days
## 2:            Immunotherapy 102.72222 days
## 3:                     none        NA days
## 4:                   Others 259.20000 days
## 5:              none/others   0.00000 days
## 6:                       NA        NA days
##                         first_pfs
## First.systemic.treatment none progression unknown
##            Chemotherapy     0          16       1
##            Immunotherapy    4          12       2
##            none/others      0           0       1
##            Others           0           5       0

Second line

##                    Clinical.benefit..cancer.shrinks.or.remains.stable..1
## Second.line.therapy no unknown yes
##       Chemotherapy   5       2   3
##       Immunotherapy  6       0   4
##       none           0       0   1
##       Others         3       0   6
##                   Second.line.therapy            V1
## 1:                             Others 65.66667 days
## 2:                       Chemotherapy 72.10000 days
## 3:                      Immunotherapy 94.70000 days
## 4:                               none       NA days
## 5: Radiotherapy Brain (none systemic)       NA days
## 6:                                 NA       NA days
##                    second_pfs
## Second.line.therapy none progression unknown
##       Chemotherapy     0           8       2
##       Immunotherapy    1           9       0
##       none             1           0       0
##       Others           1           6       2

Third line

##                   Clinical.benefit..cancer.shrinks.or.remains.stable..2
## Third.line.therapy no unknown yes
##      Chemotherapy   2       2   1
##      Immunotherapy  3       1   0
##      Others         2       0   2
##    Third.line.therapy          V1
## 1:      Immunotherapy  62.00 days
## 2:               none     NA days
## 3:       Chemotherapy  63.40 days
## 4:             Others 314.75 days
## 5:  none (Interferon)     NA days
## 6:                 no     NA days
## 7:                 NA     NA days
##                   third_pfs
## Third.line.therapy progression unknown
##      Chemotherapy            1       4
##      Immunotherapy           3       1
##      Others                  4       0

Fourth line

##                    Clinical.benefit..cancer.shrinks.or.remains.stable..3
## Fourth.line.therapy no unknown yes
##       Chemotherapy   1       1   0
##       Immunotherapy  1       0   0
##       Others         2       0   1
##    Fourth.line.therapy            V1
## 1:              Others 176.3333 days
## 2:                none       NA days
## 3:        Chemotherapy  24.5000 days
## 4:       Immunotherapy  21.0000 days
## 5:                  NA       NA days
##                    fourth_pfs
## Fourth.line.therapy progression unknown
##       Chemotherapy            1       1
##       Immunotherapy           1       0
##       Others                  2       1

Fifth line

##                   Clinical.benefit..cancer.shrinks.or.remains.stable..4
## Fifth.line.therapy no unknown yes
##       Chemotherapy  1       0   1
##       Others        0       1   0
##    Fifth.line.therapy        V1
## 1:                 NA   NA days
## 2:       Chemotherapy 86.5 days
## 3:             Others  8.0 days
##                   fifth_pfs
## Fifth.line.therapy progression unknown
##       Chemotherapy           2       0
##       Others                 0       1

Sixth line

##                   Clinical.benefit..cancer.shrinks.or.remains.stable..5
## Sixth.line.therapy unknown
##       Chemotherapy       1
##    Sixth.line.therapy      V1
## 1:                 NA NA days
## 2:       Chemotherapy 24 days
##                   sixth_pfs
## Sixth.line.therapy unknown
##       Chemotherapy       1

ipi then chemo and ipi

## , , First.systemic.treatment = Chemotherapy
## 
##                    Clinical.benefit..cancer.shrinks.or.remains.stable..1
## Second.line.therapy no unknown yes
##       Chemotherapy   1       1   2
##       Immunotherapy  4       0   0
##       none           0       0   0
##       Others         2       0   3
## 
## , , First.systemic.treatment = Immunotherapy
## 
##                    Clinical.benefit..cancer.shrinks.or.remains.stable..1
## Second.line.therapy no unknown yes
##       Chemotherapy   3       1   1
##       Immunotherapy  1       0   3
##       none           0       0   0
##       Others         1       0   2
## 
## , , First.systemic.treatment = Others
## 
##                    Clinical.benefit..cancer.shrinks.or.remains.stable..1
## Second.line.therapy no unknown yes
##       Chemotherapy   1       0   0
##       Immunotherapy  1       0   1
##       none           0       0   1
##       Others         0       0   1
##     First.systemic.treatment                Second.line.therapy
##  1:             Chemotherapy                             Others
##  2:            Immunotherapy                       Chemotherapy
##  3:            Immunotherapy                      Immunotherapy
##  4:                     none                               none
##  5:                   Others                             Others
##  6:             Chemotherapy                      Immunotherapy
##  7:            Immunotherapy                               none
##  8:             Chemotherapy                       Chemotherapy
##  9:             Chemotherapy                               none
## 10:            Immunotherapy                             Others
## 11:                   Others                       Chemotherapy
## 12:                   Others                               none
## 13:                   Others                      Immunotherapy
## 14:              none/others                               none
## 15:            Immunotherapy Radiotherapy Brain (none systemic)
## 16:                       NA                                 NA
##                 V1
##  1:  82.40000 days
##  2:  71.20000 days
##  3: 147.75000 days
##  4:        NA days
##  5:  42.00000 days
##  6:  68.00000 days
##  7:        NA days
##  8:  84.25000 days
##  9:        NA days
## 10:  45.66667 days
## 11:  28.00000 days
## 12:   0.00000 days
## 13:  42.00000 days
## 14:        NA days
## 15:        NA days
## 16:        NA days

Percentage of secondary therapies

##                   Second.line.therapy   N
## 1:                             Others   9
## 2:                       Chemotherapy  10
## 3:                      Immunotherapy  10
## 4:                               none  37
## 5: Radiotherapy Brain (none systemic)   1
## 6:                                 NA 105
##                         Second.line.therapy
## First.systemic.treatment Chemotherapy Immunotherapy none Others
##            Chemotherapy             4             4    4      5
##            Immunotherapy            5             4    5      3
##            none                     0             0   26      0
##            none/others              0             0    1      0
##            Others                   1             2    1      1
##                         Second.line.therapy
## First.systemic.treatment Radiotherapy Brain (none systemic)
##            Chemotherapy                                   0
##            Immunotherapy                                  1
##            none                                           0
##            none/others                                    0
##            Others                                         0

shortest and longets time for first treatment

##    First.systemic.treatment      V1
## 1:             Chemotherapy 14 days
## 2:            Immunotherapy  0 days
## 3:                     none NA days
## 4:                   Others 37 days
## 5:              none/others  0 days
## 6:                       NA NA days
##    First.systemic.treatment        V1
## 1:             Chemotherapy  244 days
## 2:            Immunotherapy 1050 days
## 3:                     none   NA days
## 4:                   Others  370 days
## 5:              none/others    0 days
## 6:                       NA   NA days

not enough patients to do MEK analysis

calculate overall survival for SLNB

calculate overall survival for ulceration

calculate overall survival for T_stage

calculate overall survival for SLNB negative and mets

SLNB who get mets

## , , vital_status2 = 0
## 
##                  Sentinel.lymph.node.biopsy..SLNB.
## Metastatic.yes.no negative not performed positive
##               no        49            45        0
##               yes        5             6       16
## 
## , , vital_status2 = 1
## 
##                  Sentinel.lymph.node.biopsy..SLNB.
## Metastatic.yes.no negative not performed positive
##               no         1            10        0
##               yes       10            19       11

organ mets first diagnosis

##    Organ.metastases.at.first.diagnosis....0..1..2..3...4.   N
## 1:                                                      0  64
## 2:                                                      1   2
## 3:                                                     ?4   1
## 4:                                                     NA 105

Organ mets at last followup or death

##    Organs   N percent
## 1:      2  12   17.91
## 2:     ?4  14   20.90
## 3:      0  27   40.30
## 4:      3   6    8.96
## 5:      1   8   11.94
## 6:     NA 105  156.72

number of lung mets

##    lung.metastases.at.death.last.followup   N percent
## 1:                                    yes  30   44.78
## 2:                                     no  37   55.22
## 3:                                     NA 105  156.72

number of liver mets

##    liver.metastases.at.death.last.followup   N percent
## 1:                                      no  42   62.69
## 2:                                     yes  25   37.31
## 3:                                      NA 105  156.72

number of brain mets

##    brain.metastases.at.death.last.followup   N percent
## 1:                                     yes  12   17.91
## 2:                                      no  55   82.09
## 3:                                      NA 105  156.72

number of bone mets

##    bone.metastases.at.death.last.followup   N percent
## 1:                                     no  45   67.16
## 2:                                    yes  22   32.84
## 3:                                     NA 105  156.72
##                 exact.localisation.of.bone.metastases   N
##  1:                                                NA 150
##  2:                   spine, rib, glenoid, acetabulum   1
##  3:                                               rib   1
##  4:                                             spine   4
##  5:                                  spine, os ileum    1
##  6:                                        spine, rib   2
##  7:         spine, os ileum, sacrum, scapula, glenoid   1
##  8:                                      rib, scapula   1
##  9:                                         os sacrum   2
## 10: spine, scapula, tibia, femur, acetabulum, glenoid   1
## 11:                     spine, os ileum, rib, sternum   1
## 12:                       rib, sternum, os ileum, jaw   1
## 13:                                             femur   2
## 14:                                   spine, scapula    1
## 15:                                          os ileum   1
## 16:                      spine, os sacrum, rib, femur   1
## 17:                                    os ischiadicum   1
##    patients.with.bone.metastases..number.of.affected.regions   N
## 1:                                                        NA 150
## 2:                                                         4   4
## 3:                                                         1  11
## 4:                                                         2   5
## 5:                                                         5   1
## 6:                                                         6   1

number of visceral mets

##    other.visceral.metastases.at.death.last.followup   N percent
## 1:                                               no  49   73.13
## 2:                                              yes  18   26.87
## 3:                                               NA 105  156.72

number of other mets

##    Other_mets   N percent
## 1:         no  66   98.51
## 2:        yes   1    1.49
## 3:         NA 105  156.72

number of distant mets

##    Distant_mets   N percent
## 1:          yes  41   61.19
## 2:           no  26   38.81
## 3:           NA 105  156.72

Stage 3 patients with lymph node mets and/or intransit mets

##                  StageIII_mets   N percent
## 1:                          NA 147     588
## 2:           Lymphknoten (Nxb)   5      20
## 3:           Lymphknoten (Nxa)  10      40
## 4: both, mit Lymphknoten (Nxb)   5      20
## 5:                   Intransit   3      12
## 6: both, mit Lymphknoten (Nxa)   2       8

Stage 4 patients with lymph node mets and/or intransit mets

##                             StageIV_mets   N percent
## 1:                                  both   7   16.67
## 2:           both, mit Lymphknoten (Nxa)   4    9.52
## 3:                                    NA 130  309.52
## 4:                     Lymphknoten (Nxb)  15   35.71
## 5:                             Intransit   2    4.76
## 6: SLNB not performed, then systemic met   3    7.14
## 7:                                  none   1    2.38
## 8:           both, mit Lymphknoten (Nxb)  10   23.81

logisitic regression for metastasis

nothing sigificant

## Warning: glm.fit: fitted probabilities numerically 0 or 1 occurred
##                                  term    estimate    std.error
## 1                         (Intercept)  -1.9162193     1.449603
## 2                        SLNBpositive  54.6714433  6679.839892
## 3                             Genderm  -0.4514366     1.045362
## 4                      Ulceration2yes   1.2090236     1.399905
## 5   Digitum.versus.Planta.PalmaDig II  12.4650697 21119.325975
## 6  Digitum.versus.Planta.PalmaDig III  16.3301676  5138.841660
## 7   Digitum.versus.Planta.PalmaDig IV -34.0310073 29985.925205
## 8    Digitum.versus.Planta.PalmaDig V  17.7699120  3918.646835
## 9     Digitum.versus.Planta.Palmapalm  13.9093156 29664.344674
## 10  Digitum.versus.Planta.Palmaplanta   0.1076949     1.372238
## 11             Primary.tumor.sitehand   1.0866290     1.808564
## 12                          T_stageT2 -34.1943572  5043.601100
## 13                          T_stageT3   0.7651505     1.369259
## 14                          T_stageT4   2.2066595     2.210763
## 15                     T_stageunknown -20.8588728 29232.438044
##        statistic   p.value
## 1  -1.3218928347 0.1862038
## 2   0.0081845440 0.9934698
## 3  -0.4318471950 0.6658525
## 4   0.8636466589 0.3877820
## 5   0.0005902210 0.9995291
## 6   0.0031777915 0.9974645
## 7  -0.0011348994 0.9990945
## 8   0.0045347062 0.9963818
## 9   0.0004688900 0.9996259
## 10  0.0784812186 0.9374453
## 11  0.6008243023 0.5479570
## 12 -0.0067797505 0.9945906
## 13  0.5588064028 0.5762939
## 14  0.9981436677 0.3182097
## 15 -0.0007135523 0.9994307

looking at SLNB

nothing significant

##                                  term     estimate    std.error
## 1                         (Intercept) -16.50551978 2215.1226641
## 2                           T_stageT1  15.56779461 2215.1227669
## 3                           T_stageT2  16.51213801 2215.1225947
## 4                           T_stageT3  17.35338477 2215.1226549
## 5                           T_stageT4  19.27874060 2215.1228509
## 6                      T_stageunknown  -0.35189530 4534.1076062
## 7                             Genderm  -0.05458158    0.5712228
## 8                   Ulcerationunknown  -0.37017416    0.9826386
## 9                       Ulcerationyes  -0.70865341    0.8070031
## 10  Digitum.versus.Planta.PalmaDig II   1.13735719    1.5311256
## 11 Digitum.versus.Planta.PalmaDig III   0.89603488    1.3784016
## 12  Digitum.versus.Planta.PalmaDig IV  16.58144763 3956.1805797
## 13   Digitum.versus.Planta.PalmaDig V -16.29233549 2746.4482298
## 14    Digitum.versus.Planta.Palmapalm -15.78408676 3956.1804626
## 15  Digitum.versus.Planta.Palmaplanta  -1.88162211    0.7958618
## 16             Primary.tumor.sitehand  -1.73401838    1.0514469
##        statistic    p.value
## 1  -7.451289e-03 0.99405479
## 2   7.027960e-03 0.99439255
## 3   7.454277e-03 0.99405240
## 4   7.834051e-03 0.99374940
## 5   8.703238e-03 0.99305591
## 6  -7.761071e-05 0.99993808
## 7  -9.555218e-02 0.92387625
## 8  -3.767144e-01 0.70638583
## 9  -8.781297e-01 0.37987333
## 10  7.428242e-01 0.45758810
## 11  6.500536e-01 0.51565762
## 12  4.191277e-03 0.99665585
## 13 -5.932147e-03 0.99526686
## 14 -3.989729e-03 0.99681667
## 15 -2.364257e+00 0.01806626
## 16 -1.649174e+00 0.09911208

calculate overall survival for cKit patients

Interferon

##    Interferon   N percent
## 1:         no  52   77.61
## 2:        yes  15   22.39
## 3:         NA 105  156.72
##                                  got..Interferon..in.stage.III.yes.no
## Sentinel.lymph.node.biopsy..SLNB. no yes
##                     negative      12   3
##                     not performed 20   5
##                     positive      20   7