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The evolution of the management of regional lymph nodes in melanoma
Author(s) -
Landry Christine S.,
McMasters Kelly M.,
Scoggins Charles R.
Publication year - 2007
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.20867
Subject(s) - medicine , melanoma , dissection (medical) , lymph , lymph node , lymphatic system , general surgery , sentinel lymph node , biopsy , sentinel node , surgery , radiology , cancer , pathology , breast cancer , cancer research
The last two decades have seen sweeping changes in the surgical approach to melanoma. Traditionally, patients without evidence of nodal metastases were considered for elective lymph node dissection. This approach placed many patients at risk of morbidity while many derived no benefit. As investigators gained a deeper understanding of melanoma and lymphatic biology, newer methods of managing regional lymph nodes were sought. The advent of sentinel node biopsy has radically changed the approach to melanoma. J. Surg. Oncol. 2007;96:316–321. © 2007 Wiley‐Liss, Inc.