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

ABSTRACT: 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.

SUBMITTER: Fayne RA 

PROVIDER: S-EPMC6902307 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature

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

Fayne Rachel A RA   Macedo Francisco I FI   Rodgers Steven E SE   Möller Mecker G MG  

Oncology reviews 20190701 2

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>i.e.</i> observation) has similar outcomes compared to CLND. We sough  ...[more]

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