Sentinel lymph node biopsy in cutaneous melanoma

Acta Cirurgica Brasileira

Andrea Fernandes De Oliveira²  Ivan Dunshee De Abranches Oliveira Santos¹  Thaís Cardoso De Mello Tucunduva¹  Luciana Garbelini Sanches¹  Renato Santos Oliveira Filho¹  Mílvia Maria Simões E Silva Enokihara¹  Lydia Masako Ferreira¹ 

[1] ,UNIFESP Post-Graduation Program in Plastic Surgery ,Brazil

关键词: Melanoma;    Lymph Nodes;    Lymphatic Vessels;    Diagnosis;    Melanoma;    Linfonodos;    Vasos Linfáticos;    Diagnóstico;   

DOI  :  10.1590/S0102-86502007000500002

来源: SciELO

【 摘 要 】

PURPOSE: To assess the importance of sentinel lymph node biopsy in patients with cutaneous melanoma. METHODS: Ninety consecutive non-randomized patients with stages I and II melanoma who underwent sentinel lymph node biopsy were followed up prospectively for six years. RESULTS: Patients were followed up for a mean period of 30 months. Their mean age was 53.3 years, ranging from 12 to 83 years. Thirty patients were male (37.5%) and 50, female (62.5%). Sentinel lymph node was positive in 32.5% and negative in 67.5%. It was found that the thicker the tumor, the greater the incidence of positive sentinel lymph nodes. In the group of patients with positive sentinel lymph nodes, recurrence occurred in 43.5%, but in those with negative sentinel lymph nodes, in only 7%, what points out to the association of tumor recurrence and positive sentinel lymph nodes. There were no major postoperative complications. CONCLUSION: Sentinel lymph node biopsy was demonstrated to be a safe method for selecting patients who need therapeutic lymphadenectomy.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License