Superficial and deep lymph node dissection for stage III cutaneous melanoma: clinical outcome and prognostic factors
Identifieur interne : 003126 ( Main/Exploration ); précédent : 003125; suivant : 003127Superficial and deep lymph node dissection for stage III cutaneous melanoma: clinical outcome and prognostic factors
Auteurs : Nicola Mozzillo [Italie] ; Corrado Carac [Italie] ; Ugo Marone [Italie] ; Gianluca Di Monta [Italie] ; Anna Crispo [Italie] ; Gerardo Botti [Italie] ; Maurizio Montella [Italie] ; Paolo Antonio Ascierto [Italie]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2013.
Abstract
The aims of this retrospective analysis were to evaluate the effect of combined superficial and deep groin dissection on disease-free and melanoma-specific survival, and to identify the most important factors for predicting the involvement of deep nodes according to clinically or microscopically detected nodal metastases.
Between January 1996 and December 2005, 133 consecutive patients with groin lymph node metastases underwent superficial and deep dissection at the National Cancer Institute, Naples. Lymph node involvement was clinically evident in 84 patients and detected by sentinel node biopsy in 49 cases.
The 5-year disease-free survival was significantly better for patients with superficial lymph node metastases than for patients with involvement of both superficial and deep lymph nodes (34.9% vs. 19.0%;
Metastasis in the deep nodes is the strongest predictor of both disease-free and melanoma-specific survival. Deep groin dissection should be considered for all patients with groin clinical nodal involvement, but might be spared in patients with a positive sentinel node. Prospective studies will clarify the issue further.
Url:
DOI: 10.1186/1477-7819-11-36
PubMed: 23379355
PubMed Central: 3585715
Affiliations:
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80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Montella, Maurizio" sort="Montella, Maurizio" uniqKey="Montella M" first="Maurizio" last="Montella">Maurizio Montella</name><affiliation wicri:level="1"><nlm:aff id="I4">Division of Epidemiology, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Epidemiology, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Ascierto, Paolo Antonio" sort="Ascierto, Paolo Antonio" uniqKey="Ascierto P" first="Paolo Antonio" last="Ascierto">Paolo Antonio Ascierto</name><affiliation wicri:level="1"><nlm:aff id="I3">Division of Oncology, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Oncology, Via Mariano Semmola, Naples, 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Carac</name><affiliation wicri:level="1"><nlm:aff id="I2">Division of Melanoma and Skin Cancer, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Melanoma and Skin Cancer, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Marone, Ugo" sort="Marone, Ugo" uniqKey="Marone U" first="Ugo" last="Marone">Ugo Marone</name><affiliation wicri:level="1"><nlm:aff id="I2">Division of Melanoma and Skin Cancer, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Melanoma and Skin Cancer, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Di Monta, Gianluca" sort="Di Monta, Gianluca" uniqKey="Di Monta G" first="Gianluca" last="Di Monta">Gianluca Di Monta</name><affiliation wicri:level="1"><nlm:aff id="I2">Division of Melanoma and Skin Cancer, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Melanoma and Skin Cancer, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Crispo, Anna" sort="Crispo, Anna" uniqKey="Crispo A" first="Anna" last="Crispo">Anna Crispo</name><affiliation wicri:level="1"><nlm:aff id="I4">Division of Epidemiology, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Epidemiology, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Botti, Gerardo" sort="Botti, Gerardo" uniqKey="Botti G" first="Gerardo" last="Botti">Gerardo Botti</name><affiliation wicri:level="1"><nlm:aff id="I5">Division of Pathology, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Pathology, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Montella, Maurizio" sort="Montella, Maurizio" uniqKey="Montella M" first="Maurizio" last="Montella">Maurizio Montella</name><affiliation wicri:level="1"><nlm:aff id="I4">Division of Epidemiology, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Epidemiology, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author><author><name sortKey="Ascierto, Paolo Antonio" sort="Ascierto, Paolo Antonio" uniqKey="Ascierto P" first="Paolo Antonio" last="Ascierto">Paolo Antonio Ascierto</name><affiliation wicri:level="1"><nlm:aff id="I3">Division of Oncology, Via Mariano Semmola, Naples, 80131, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Division of Oncology, Via Mariano Semmola, Naples, 80131</wicri:regionArea><wicri:noRegion>80131</wicri:noRegion></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aims of this retrospective analysis were to evaluate the effect of combined superficial and deep groin dissection on disease-free and melanoma-specific survival, and to identify the most important factors for predicting the involvement of deep nodes according to clinically or microscopically detected nodal metastases.</p></sec><sec><title>Methods</title><p>Between January 1996 and December 2005, 133 consecutive patients with groin lymph node metastases underwent superficial and deep dissection at the National Cancer Institute, Naples. Lymph node involvement was clinically evident in 84 patients and detected by sentinel node biopsy in 49 cases.</p></sec><sec><title>Results</title><p>The 5-year disease-free survival was significantly better for patients with superficial lymph node metastases than for patients with involvement of both superficial and deep lymph nodes (34.9% vs. 19.0%; <italic>P</italic> = 0.001). The 5-year melanoma-specific survival was also significantly better for patients with superficial node metastases only (55.6% vs. 33.3%; <italic>P</italic> = 0.001).</p></sec><sec><title>Conclusions</title><p>Metastasis in the deep nodes is the strongest predictor of both disease-free and melanoma-specific survival. Deep groin dissection should be considered for all patients with groin clinical nodal involvement, but might be spared in patients with a positive sentinel node. 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sortKey="Soo, V" uniqKey="Soo V">V Soo</name></author><author><name sortKey="Kraas, J" uniqKey="Kraas J">J Kraas</name></author><author><name sortKey="Shen, P" uniqKey="Shen P">P Shen</name></author><author><name sortKey="Levine, Ea" uniqKey="Levine E">EA Levine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Van Der Ploeg, Ap" uniqKey="Van Der Ploeg A">AP van der Ploeg</name></author><author><name sortKey="Van Akkooi, Ac" uniqKey="Van Akkooi A">AC van Akkooi</name></author><author><name sortKey="Schmitz, Pi" uniqKey="Schmitz P">PI Schmitz</name></author><author><name sortKey="Van Geel, An" uniqKey="Van Geel A">AN van Geel</name></author><author><name sortKey="De Wilt, Jh" uniqKey="De Wilt J">JH de Wilt</name></author><author><name sortKey="Eggermont, Am" uniqKey="Eggermont A">AM Eggermont</name></author><author><name sortKey="Verhoef, C" uniqKey="Verhoef C">C Verhoef</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Mozzillo, Nicola" sort="Mozzillo, Nicola" uniqKey="Mozzillo N" first="Nicola" last="Mozzillo">Nicola Mozzillo</name></noRegion><name sortKey="Ascierto, Paolo Antonio" sort="Ascierto, Paolo Antonio" uniqKey="Ascierto P" first="Paolo Antonio" last="Ascierto">Paolo Antonio Ascierto</name><name sortKey="Botti, Gerardo" sort="Botti, Gerardo" uniqKey="Botti G" first="Gerardo" last="Botti">Gerardo Botti</name><name sortKey="Carac, Corrado" sort="Carac, Corrado" uniqKey="Carac C" first="Corrado" last="Carac">Corrado Carac</name><name sortKey="Crispo, Anna" sort="Crispo, Anna" uniqKey="Crispo A" first="Anna" last="Crispo">Anna Crispo</name><name sortKey="Di Monta, Gianluca" sort="Di Monta, Gianluca" uniqKey="Di Monta G" first="Gianluca" last="Di Monta">Gianluca Di Monta</name><name sortKey="Marone, Ugo" sort="Marone, Ugo" uniqKey="Marone U" first="Ugo" last="Marone">Ugo Marone</name><name sortKey="Montella, Maurizio" sort="Montella, Maurizio" uniqKey="Montella M" first="Maurizio" last="Montella">Maurizio Montella</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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