The Feasibility of Sentinel Lymph Node Biopsy with a Multidisciplinary Cooperative Team Approach for the Management of Koreans with Cutaneous Malignant Melanoma
Identifieur interne : 002C15 ( Pmc/Corpus ); précédent : 002C14; suivant : 002C16The Feasibility of Sentinel Lymph Node Biopsy with a Multidisciplinary Cooperative Team Approach for the Management of Koreans with Cutaneous Malignant Melanoma
Auteurs : Seok-Jong Lee ; Hyun Jung Lim ; Ho Youn Kim ; Chang Hyun Song ; Byung Soo Kim ; Weon Ju Lee ; Do Won Kim ; Jin Hyang Jung ; Ho Yong Park ; Sang Gul Kim ; Ghil Suk Yoon ; Jae Tae LeeSource :
- Annals of Dermatology [ 1013-9087 ] ; 2010.
Abstract
The regional lymph nodal status is the most powerful independent predictor of survival for patients with clinical N0 primary cutaneous malignant melanoma.
We wanted to evaluate the feasibility and morbidity of the sentinel lymph node biopsy (SLNB) staging using a multidisciplinary team approach, in cooperation with other surgical departments, at a university hospital setting.
Twenty two patients with cutaneous melanoma and who were treated at Kyungpook National University Hospital were included in this study. They all received SLNB, which was done by the Departments of Dermatology and General Surgery. We evaluated the feasibility and side effects of SLNB.
Pathologically-positive sentinel nodes were found in 7 of the 22 cases (31.8%) and all 7 patients were consequently upstaged. The whole process involved in SLNB was well tolerated by nearly all the patients, with only mild and transient complications being observed.
We suggest that in a Korean setting, utilizing SLNB with a multi-disciplinary team approach is a technically feasible procedure that is able to detect occult nodal metastasis with low morbidity rates in patients with cutaneous malignant melanoma.
Url:
DOI: 10.5021/ad.2010.22.1.26
PubMed: 20548877
PubMed Central: 2883393
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PMC:2883393Le document en format XML
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<author><name sortKey="Lee, Seok Jong" sort="Lee, Seok Jong" uniqKey="Lee S" first="Seok-Jong" last="Lee">Seok-Jong Lee</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lim, Hyun Jung" sort="Lim, Hyun Jung" uniqKey="Lim H" first="Hyun Jung" last="Lim">Hyun Jung Lim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
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<author><name sortKey="Kim, Ho Youn" sort="Kim, Ho Youn" uniqKey="Kim H" first="Ho Youn" last="Kim">Ho Youn Kim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
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<author><name sortKey="Song, Chang Hyun" sort="Song, Chang Hyun" uniqKey="Song C" first="Chang Hyun" last="Song">Chang Hyun Song</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kim, Byung Soo" sort="Kim, Byung Soo" uniqKey="Kim B" first="Byung Soo" last="Kim">Byung Soo Kim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
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<author><name sortKey="Lee, Weon Ju" sort="Lee, Weon Ju" uniqKey="Lee W" first="Weon Ju" last="Lee">Weon Ju Lee</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kim, Do Won" sort="Kim, Do Won" uniqKey="Kim D" first="Do Won" last="Kim">Do Won Kim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
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<author><name sortKey="Jung, Jin Hyang" sort="Jung, Jin Hyang" uniqKey="Jung J" first="Jin Hyang" last="Jung">Jin Hyang Jung</name>
<affiliation><nlm:aff id="A2">Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
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<author><name sortKey="Park, Ho Yong" sort="Park, Ho Yong" uniqKey="Park H" first="Ho Yong" last="Park">Ho Yong Park</name>
<affiliation><nlm:aff id="A2">Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
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<author><name sortKey="Kim, Sang Gul" sort="Kim, Sang Gul" uniqKey="Kim S" first="Sang Gul" last="Kim">Sang Gul Kim</name>
<affiliation><nlm:aff id="A2">Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yoon, Ghil Suk" sort="Yoon, Ghil Suk" uniqKey="Yoon G" first="Ghil Suk" last="Yoon">Ghil Suk Yoon</name>
<affiliation><nlm:aff id="A3">Department of Pathology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Jae Tae" sort="Lee, Jae Tae" uniqKey="Lee J" first="Jae Tae" last="Lee">Jae Tae Lee</name>
<affiliation><nlm:aff id="A4">Department of Nuclear Medicine, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The Feasibility of Sentinel Lymph Node Biopsy with a Multidisciplinary Cooperative Team Approach for the Management of Koreans with Cutaneous Malignant Melanoma</title>
<author><name sortKey="Lee, Seok Jong" sort="Lee, Seok Jong" uniqKey="Lee S" first="Seok-Jong" last="Lee">Seok-Jong Lee</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lim, Hyun Jung" sort="Lim, Hyun Jung" uniqKey="Lim H" first="Hyun Jung" last="Lim">Hyun Jung Lim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kim, Ho Youn" sort="Kim, Ho Youn" uniqKey="Kim H" first="Ho Youn" last="Kim">Ho Youn Kim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Song, Chang Hyun" sort="Song, Chang Hyun" uniqKey="Song C" first="Chang Hyun" last="Song">Chang Hyun Song</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kim, Byung Soo" sort="Kim, Byung Soo" uniqKey="Kim B" first="Byung Soo" last="Kim">Byung Soo Kim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Weon Ju" sort="Lee, Weon Ju" uniqKey="Lee W" first="Weon Ju" last="Lee">Weon Ju Lee</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kim, Do Won" sort="Kim, Do Won" uniqKey="Kim D" first="Do Won" last="Kim">Do Won Kim</name>
<affiliation><nlm:aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Jung, Jin Hyang" sort="Jung, Jin Hyang" uniqKey="Jung J" first="Jin Hyang" last="Jung">Jin Hyang Jung</name>
<affiliation><nlm:aff id="A2">Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Park, Ho Yong" sort="Park, Ho Yong" uniqKey="Park H" first="Ho Yong" last="Park">Ho Yong Park</name>
<affiliation><nlm:aff id="A2">Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Kim, Sang Gul" sort="Kim, Sang Gul" uniqKey="Kim S" first="Sang Gul" last="Kim">Sang Gul Kim</name>
<affiliation><nlm:aff id="A2">Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Yoon, Ghil Suk" sort="Yoon, Ghil Suk" uniqKey="Yoon G" first="Ghil Suk" last="Yoon">Ghil Suk Yoon</name>
<affiliation><nlm:aff id="A3">Department of Pathology, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
<author><name sortKey="Lee, Jae Tae" sort="Lee, Jae Tae" uniqKey="Lee J" first="Jae Tae" last="Lee">Jae Tae Lee</name>
<affiliation><nlm:aff id="A4">Department of Nuclear Medicine, Kyungpook National University School of Medicine, Daegu, Korea.</nlm:aff>
</affiliation>
</author>
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<series><title level="j">Annals of Dermatology</title>
<idno type="ISSN">1013-9087</idno>
<idno type="eISSN">2005-3894</idno>
<imprint><date when="2010">2010</date>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>The regional lymph nodal status is the most powerful independent predictor of survival for patients with clinical N0 primary cutaneous malignant melanoma.</p>
</sec>
<sec><title>Objective</title>
<p>We wanted to evaluate the feasibility and morbidity of the sentinel lymph node biopsy (SLNB) staging using a multidisciplinary team approach, in cooperation with other surgical departments, at a university hospital setting.</p>
</sec>
<sec><title>Methods</title>
<p>Twenty two patients with cutaneous melanoma and who were treated at Kyungpook National University Hospital were included in this study. They all received SLNB, which was done by the Departments of Dermatology and General Surgery. We evaluated the feasibility and side effects of SLNB.</p>
</sec>
<sec><title>Results</title>
<p>Pathologically-positive sentinel nodes were found in 7 of the 22 cases (31.8%) and all 7 patients were consequently upstaged. The whole process involved in SLNB was well tolerated by nearly all the patients, with only mild and transient complications being observed.</p>
</sec>
<sec><title>Conclusion</title>
<p>We suggest that in a Korean setting, utilizing SLNB with a multi-disciplinary team approach is a technically feasible procedure that is able to detect occult nodal metastasis with low morbidity rates in patients with cutaneous malignant melanoma.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Dermatol</journal-id>
<journal-id journal-id-type="publisher-id">AD</journal-id>
<journal-title-group><journal-title>Annals of Dermatology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1013-9087</issn>
<issn pub-type="epub">2005-3894</issn>
<publisher><publisher-name>Korean Dermatological Association; The Korean Society for Investigative Dermatology</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">20548877</article-id>
<article-id pub-id-type="pmc">2883393</article-id>
<article-id pub-id-type="doi">10.5021/ad.2010.22.1.26</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Feasibility of Sentinel Lymph Node Biopsy with a Multidisciplinary Cooperative Team Approach for the Management of Koreans with Cutaneous Malignant Melanoma</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Lee</surname>
<given-names>Seok-Jong</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lim</surname>
<given-names>Hyun Jung</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Ho Youn</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Song</surname>
<given-names>Chang Hyun</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Byung Soo</given-names>
</name>
<degrees>M.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Weon Ju</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Do Won</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A1"></xref>
</contrib>
<contrib contrib-type="author"><name><surname>Jung</surname>
<given-names>Jin Hyang</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Park</surname>
<given-names>Ho Yong</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Kim</surname>
<given-names>Sang Gul</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A2">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Yoon</surname>
<given-names>Ghil Suk</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A3">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Lee</surname>
<given-names>Jae Tae</given-names>
</name>
<degrees>M.D.</degrees>
<degrees>Ph.D.</degrees>
<xref ref-type="aff" rid="A4">3</xref>
</contrib>
</contrib-group>
<aff id="A1">Department of Dermatology, Kyungpook National University School of Medicine, Daegu, Korea.</aff>
<aff id="A2"><label>1</label>
Department of General Surgery, Kyungpook National University School of Medicine, Daegu, Korea.</aff>
<aff id="A3"><label>2</label>
Department of Pathology, Kyungpook National University School of Medicine, Daegu, Korea.</aff>
<aff id="A4"><label>3</label>
Department of Nuclear Medicine, Kyungpook National University School of Medicine, Daegu, Korea.</aff>
<author-notes><corresp>Reprint request to: Seok-Jong Lee, M.D., Department of Dermatology, Kyungpook National University Hospital, 50, Samduk 2-ga, Jung-gu, Daegu 700-721, Korea. Tel: 82-53-420-5834, Fax: 82-53-426-0770, <email>seokjong@knu.ac.kr</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>2</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub"><day>28</day>
<month>2</month>
<year>2010</year>
</pub-date>
<volume>22</volume>
<issue>1</issue>
<fpage>26</fpage>
<lpage>34</lpage>
<history><date date-type="received"><day>23</day>
<month>6</month>
<year>2009</year>
</date>
<date date-type="rev-recd"><day>23</day>
<month>10</month>
<year>2009</year>
</date>
<date date-type="accepted"><day>09</day>
<month>11</month>
<year>2009</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2010 Korean Dermatological Association and The Korean Society for Investigative Dermatology</copyright-statement>
<copyright-year>2010</copyright-year>
</permissions>
<abstract><sec><title>Background</title>
<p>The regional lymph nodal status is the most powerful independent predictor of survival for patients with clinical N0 primary cutaneous malignant melanoma.</p>
</sec>
<sec><title>Objective</title>
<p>We wanted to evaluate the feasibility and morbidity of the sentinel lymph node biopsy (SLNB) staging using a multidisciplinary team approach, in cooperation with other surgical departments, at a university hospital setting.</p>
</sec>
<sec><title>Methods</title>
<p>Twenty two patients with cutaneous melanoma and who were treated at Kyungpook National University Hospital were included in this study. They all received SLNB, which was done by the Departments of Dermatology and General Surgery. We evaluated the feasibility and side effects of SLNB.</p>
</sec>
<sec><title>Results</title>
<p>Pathologically-positive sentinel nodes were found in 7 of the 22 cases (31.8%) and all 7 patients were consequently upstaged. The whole process involved in SLNB was well tolerated by nearly all the patients, with only mild and transient complications being observed.</p>
</sec>
<sec><title>Conclusion</title>
<p>We suggest that in a Korean setting, utilizing SLNB with a multi-disciplinary team approach is a technically feasible procedure that is able to detect occult nodal metastasis with low morbidity rates in patients with cutaneous malignant melanoma.</p>
</sec>
</abstract>
<kwd-group><kwd>Malignant melanoma</kwd>
<kwd>Multidisciplinary approach</kwd>
<kwd>Sentinel lymph node</kwd>
<kwd>Sentinel lymph node biopsy</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>
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