Source:http://linkedlifedata.com/resource/pubmed/id/12838128
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2003-7-2
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pubmed:abstractText |
The purpose of this study was to evaluate retrospectively the value of a subsequent superficial femoral lymph node dissection for patients with early melanoma of the lower extremity after a positive sentinel lymphadenectomy. During a 6-year period at the H. Lee Moffitt Cancer Center & Research Institute, 16 consecutive patients with clinical stage I or stage II melanoma of the lower extremity underwent subsequent superficial femoral lymph node dissections after positive sentinel lymphadenectomies and wide local excisions of the primary lesions. Fifteen patients (94%) were found to have no additional positive lymph nodes from their superficial femoral lymph node dissection specimens. In contrast, only 1 patient (6%) with a thick primary lesion (7.5 mm) was found to have one additional positive lymph node on a subsequent superficial femoral lymph node dissection. No patients developed any regional nodal recurrences during a mean follow-up of 31.1 months (range, 3-80 months). This preliminary report suggests that the majority of the time the sentinel lymph node may be the only site of regional microscopic nodal disease and that a subsequent superficial femoral lymph node dissection may not be necessary in patients with early melanoma of the lower extremity after a positive sentinel lymphadenectomy. However, whether the sentinel lymphadenectomy can be used solely as a regional surgical treatment for this subgroup of patients still warrants further evaluation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jul
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pubmed:issn |
0148-7043
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
51
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
69-76
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:12838128-Adolescent,
pubmed-meshheading:12838128-Adult,
pubmed-meshheading:12838128-Aged,
pubmed-meshheading:12838128-Aged, 80 and over,
pubmed-meshheading:12838128-Female,
pubmed-meshheading:12838128-Groin,
pubmed-meshheading:12838128-Humans,
pubmed-meshheading:12838128-Leg,
pubmed-meshheading:12838128-Lymph Node Excision,
pubmed-meshheading:12838128-Lymphatic Metastasis,
pubmed-meshheading:12838128-Male,
pubmed-meshheading:12838128-Melanoma,
pubmed-meshheading:12838128-Middle Aged,
pubmed-meshheading:12838128-Retrospective Studies,
pubmed-meshheading:12838128-Sentinel Lymph Node Biopsy,
pubmed-meshheading:12838128-Skin Neoplasms
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pubmed:year |
2003
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pubmed:articleTitle |
Superficial femoral lymph node dissection after positive sentinel lymphadenectomy for early-stage melanoma of the lower extremity.
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pubmed:affiliation |
Division of Plastic Surgery, University of South Florida and the Cutaneous Oncology Program, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL, USA.
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pubmed:publicationType |
Journal Article
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