Completion lymphadenectomy for sentinel node positive cutaneous head & neck melanoma
نویسندگان
چکیده
The application and utility of melanoma sentinel lymph node biopsy (SLNB) has evolved significantly since its inception over two decades ago. The current focus has shifted from a staging modality to potentially a therapeutic intervention. Recent research to include large multi-institutional randomized trials have attempted to answer the question: is a completion lymph node dissection (CLND) required following a positive SLNB? This review provides an evidence-based, contemporary review of the utility of CLND for SLNB positive head and neck cutaneous melanoma patients. Level of Evidence NA.
منابع مشابه
Sentinel lymph node biopsy is accurate and prognostic in head and neck melanoma.
BACKGROUND Sentinel lymph node biopsy (SLNB) has emerged as a widely used staging procedure for cutaneous melanoma. However, debate remains around the accuracy and prognostic implications of SLNB for cutaneous melanoma arising in the head and neck, as previous reports have demonstrated inferior results to those in nonhead and neck regions. Through the largest single-institution series of head a...
متن کاملReliability of sentinel lymph node mapping with biopsy for head and neck cutaneous melanoma.
OBJECTIVES To determine (1) the reliability of sentinel lymph node mapping with biopsy (SLNB) in head and neck cutaneous melanoma to accurately stage nodal basins and (2) the safety of SLNB in both the neck and parotid regions. DESIGN Retrospective cohort study with a median follow-up of 25 months. All patients had a minimum follow-up of 1 year. SETTING Academic medical center. PATIENTS E...
متن کاملIs sentinel lymph node biopsy the standard of care for cutaneous head and neck melanoma?
OBJECTIVES/HYPOTHESIS Sentinel lymph node biopsy (SLNB) is considered one of the most important melanoma advancements to date. Since its inception in 1992, a plethora of data and associated controversies has emerged leading to the question: Is SLNB considered the standard of care for head and neck (HN) cutaneous melanoma? STUDY DESIGN English literature (1990-2014) review. METHODS The PubMe...
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OBJECTIVE To describe a clinical experience with sentinel lymph node biopsy (SLNB) of head and neck nodal basins for clinical stage I melanomas draining to these areas. DESIGN Consecutive clinical case series with a mean follow-up of 10.7 months. SETTING University tertiary care referral medical center. PATIENTS Seventy patients with clinical stage I cutaneous melanoma who underwent SLNB ...
متن کاملRegional control of head and neck melanoma with selective neck dissection.
IMPORTANCE Historically, patients with cervical metastases from melanoma of the head and neck were treated with a radical neck dissection. This study evaluates the efficacy of limiting the extent of lymphadenectomy in this high-risk population. OBJECTIVES To determine whether limiting the extent of lymphadenectomy for patients with biopsy-proven melanoma has a negative effect on regional cont...
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عنوان ژورنال:
دوره 3 شماره
صفحات -
تاریخ انتشار 2018