Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions

Sentinel lymph node (SLN) biopsy has become the standard of care for lymph node staging in melanoma and the most important predictor of survival in clinically node-negative disease. Previous guidelines recommend completion lymph node dissection (CLND) in cases of positive SLN; however, the lymph no...

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Main Authors: Rachel A. Fayne, Francisco I. Macedo, Steven E. Rodgers, Mecker G. Möller
Format: Article
Language:English
Published: PAGEPress Publications 2019-11-01
Series:Oncology Reviews
Subjects:
Online Access:https://www.oncologyreviews.org/index.php/or/article/view/433
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spelling doaj-1d8f048e20674909837622b299498f3b2020-11-25T03:19:38ZengPAGEPress PublicationsOncology Reviews1970-55571970-55652019-11-0113210.4081/oncol.2019.433Evolving management of positive regional lymph nodes in melanoma: Past, present and future directionsRachel A. Fayne0Francisco I. Macedo1Steven E. Rodgers2Mecker G. Möller3Division of Surgical Oncology, Dewitt-Daughtry Department of Surgery, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FLDepartment of Surgery, North Florida Regional Medical Center, University of Central Florida College of Medicine, Miami, FLDivision of Surgical Oncology, Dewitt-Daughtry Department of Surgery, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FLDivision of Surgical Oncology, Dewitt-Daughtry Department of Surgery, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami, FL Sentinel lymph node (SLN) biopsy has become the standard of care for lymph node staging in melanoma and the most important predictor of survival in clinically node-negative disease. Previous guidelines recommend completion lymph node dissection (CLND) in cases of positive SLN; however, the lymph nodes recovered during CLND are only positive in a minority of these cases. Recent evidence suggests that conservative management (i.e. observation) has similar outcomes compared to CLND. We sought to review the most current literature regarding the management of SLN in metastatic melanoma and to discuss potential future directions. https://www.oncologyreviews.org/index.php/or/article/view/433Melanomasentinel lymph node biopsycompletion lymph node dissection.
collection DOAJ
language English
format Article
sources DOAJ
author Rachel A. Fayne
Francisco I. Macedo
Steven E. Rodgers
Mecker G. Möller
spellingShingle Rachel A. Fayne
Francisco I. Macedo
Steven E. Rodgers
Mecker G. Möller
Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions
Oncology Reviews
Melanoma
sentinel lymph node biopsy
completion lymph node dissection.
author_facet Rachel A. Fayne
Francisco I. Macedo
Steven E. Rodgers
Mecker G. Möller
author_sort Rachel A. Fayne
title Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions
title_short Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions
title_full Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions
title_fullStr Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions
title_full_unstemmed Evolving management of positive regional lymph nodes in melanoma: Past, present and future directions
title_sort evolving management of positive regional lymph nodes in melanoma: past, present and future directions
publisher PAGEPress Publications
series Oncology Reviews
issn 1970-5557
1970-5565
publishDate 2019-11-01
description Sentinel lymph node (SLN) biopsy has become the standard of care for lymph node staging in melanoma and the most important predictor of survival in clinically node-negative disease. Previous guidelines recommend completion lymph node dissection (CLND) in cases of positive SLN; however, the lymph nodes recovered during CLND are only positive in a minority of these cases. Recent evidence suggests that conservative management (i.e. observation) has similar outcomes compared to CLND. We sought to review the most current literature regarding the management of SLN in metastatic melanoma and to discuss potential future directions.
topic Melanoma
sentinel lymph node biopsy
completion lymph node dissection.
url https://www.oncologyreviews.org/index.php/or/article/view/433
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