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Assessment of morbidity following regional nodal dissection in the axilla and groin for metastatic melanoma.

Identifieur interne : 000864 ( PubMed/Corpus ); précédent : 000863; suivant : 000865

Assessment of morbidity following regional nodal dissection in the axilla and groin for metastatic melanoma.

Auteurs : Jane E. Theodore ; Adam J. Frankel ; Janine M. Thomas ; Andrew P. Barbour ; Gerard J. Bayley ; Christopher P. Allan ; Michael Wagels ; B Mark Smithers

Source :

RBID : pubmed:27102082

English descriptors

Abstract

This study assessed and compared the morbidity of nodal dissection in the axilla and groin including sentinel lymph node biopsy (SLNB), completion lymph node dissection for a positive SLNB (CLND) and therapeutic lymph node dissection (TLND) with and without adjuvant radiotherapy (RT).

DOI: 10.1111/ans.13526
PubMed: 27102082

Links to Exploration step

pubmed:27102082

Le document en format XML

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<title xml:lang="en">Assessment of morbidity following regional nodal dissection in the axilla and groin for metastatic melanoma.</title>
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<name sortKey="Theodore, Jane E" sort="Theodore, Jane E" uniqKey="Theodore J" first="Jane E" last="Theodore">Jane E. Theodore</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<author>
<name sortKey="Frankel, Adam J" sort="Frankel, Adam J" uniqKey="Frankel A" first="Adam J" last="Frankel">Adam J. Frankel</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<author>
<name sortKey="Thomas, Janine M" sort="Thomas, Janine M" uniqKey="Thomas J" first="Janine M" last="Thomas">Janine M. Thomas</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Barbour, Andrew P" sort="Barbour, Andrew P" uniqKey="Barbour A" first="Andrew P" last="Barbour">Andrew P. Barbour</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Bayley, Gerard J" sort="Bayley, Gerard J" uniqKey="Bayley G" first="Gerard J" last="Bayley">Gerard J. Bayley</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Allan, Christopher P" sort="Allan, Christopher P" uniqKey="Allan C" first="Christopher P" last="Allan">Christopher P. Allan</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<author>
<name sortKey="Wagels, Michael" sort="Wagels, Michael" uniqKey="Wagels M" first="Michael" last="Wagels">Michael Wagels</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Smithers, B Mark" sort="Smithers, B Mark" uniqKey="Smithers B" first="B Mark" last="Smithers">B Mark Smithers</name>
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<title xml:lang="en">Assessment of morbidity following regional nodal dissection in the axilla and groin for metastatic melanoma.</title>
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<name sortKey="Theodore, Jane E" sort="Theodore, Jane E" uniqKey="Theodore J" first="Jane E" last="Theodore">Jane E. Theodore</name>
<affiliation>
<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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</author>
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<name sortKey="Frankel, Adam J" sort="Frankel, Adam J" uniqKey="Frankel A" first="Adam J" last="Frankel">Adam J. Frankel</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Thomas, Janine M" sort="Thomas, Janine M" uniqKey="Thomas J" first="Janine M" last="Thomas">Janine M. Thomas</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Barbour, Andrew P" sort="Barbour, Andrew P" uniqKey="Barbour A" first="Andrew P" last="Barbour">Andrew P. Barbour</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Bayley, Gerard J" sort="Bayley, Gerard J" uniqKey="Bayley G" first="Gerard J" last="Bayley">Gerard J. Bayley</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Allan, Christopher P" sort="Allan, Christopher P" uniqKey="Allan C" first="Christopher P" last="Allan">Christopher P. Allan</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Wagels, Michael" sort="Wagels, Michael" uniqKey="Wagels M" first="Michael" last="Wagels">Michael Wagels</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<name sortKey="Smithers, B Mark" sort="Smithers, B Mark" uniqKey="Smithers B" first="B Mark" last="Smithers">B Mark Smithers</name>
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<nlm:affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</nlm:affiliation>
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<series>
<title level="j">ANZ journal of surgery</title>
<idno type="eISSN">1445-2197</idno>
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<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Forecasting</term>
<term>Humans</term>
<term>Lymph Node Excision (methods)</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Melanoma (epidemiology)</term>
<term>Melanoma (secondary)</term>
<term>Melanoma (surgery)</term>
<term>Middle Aged</term>
<term>Morbidity (trends)</term>
<term>Neoplasm Staging (methods)</term>
<term>Queensland (epidemiology)</term>
<term>Retrospective Studies</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Melanoma</term>
<term>Queensland</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Lymph Node Excision</term>
<term>Neoplasm Staging</term>
</keywords>
<keywords scheme="MESH" qualifier="secondary" xml:lang="en">
<term>Melanoma</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Melanoma</term>
</keywords>
<keywords scheme="MESH" qualifier="trends" xml:lang="en">
<term>Morbidity</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Aged</term>
<term>Axilla</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Forecasting</term>
<term>Humans</term>
<term>Lymphatic Metastasis</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Sentinel Lymph Node Biopsy</term>
</keywords>
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<front>
<div type="abstract" xml:lang="en">This study assessed and compared the morbidity of nodal dissection in the axilla and groin including sentinel lymph node biopsy (SLNB), completion lymph node dissection for a positive SLNB (CLND) and therapeutic lymph node dissection (TLND) with and without adjuvant radiotherapy (RT).</div>
</front>
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<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">27102082</PMID>
<DateCreated>
<Year>2016</Year>
<Month>04</Month>
<Day>22</Day>
</DateCreated>
<DateCompleted>
<Year>2017</Year>
<Month>02</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print-Electronic">
<Journal>
<ISSN IssnType="Electronic">1445-2197</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>87</Volume>
<Issue>1-2</Issue>
<PubDate>
<Year>2017</Year>
<Month>Jan</Month>
</PubDate>
</JournalIssue>
<Title>ANZ journal of surgery</Title>
<ISOAbbreviation>ANZ J Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Assessment of morbidity following regional nodal dissection in the axilla and groin for metastatic melanoma.</ArticleTitle>
<Pagination>
<MedlinePgn>44-48</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1111/ans.13526</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">This study assessed and compared the morbidity of nodal dissection in the axilla and groin including sentinel lymph node biopsy (SLNB), completion lymph node dissection for a positive SLNB (CLND) and therapeutic lymph node dissection (TLND) with and without adjuvant radiotherapy (RT).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients who had nodal dissection in the axilla or groin for cutaneous melanoma over an 18-year period (1995-2013) were prospectively documented on a database. The median follow-up was nearly 3 years. Early complications and clinically relevant lymphoedema were retrospectively analysed to assess the incidence and differences between the region and type of nodal surgery.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Included were 1521 patients following nodal dissection in the axilla (916 patients) and groin (605 patients). Less early complications occurred following SLNB in the axilla compared with the groin (5% versus 14%, P = 0.0001). Early complications were similar for CLND and TLND in the groin (49% versus 43%, P = 0.879) and axilla (28% versus 33%, P = 0.607). Moderate to severe lymphoedema rates were similar following axillary SLNB and CLND (6% versus 8%, P = 0.407). The lymphoedema rate for groin SLNB was lower than CLND (10% versus 20%, P = 0.063). No significant difference in lymphoedema rates followed CLND and TLND in each region. Following TLND, RT increased lymphoedema rates.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Morbidity may occur following SLNB with the groin having a higher rate of early complications and lymphoedema compared with the axilla. The morbidity following CLND and TLND were similar. Lymphoedema rates were increased following RT.</AbstractText>
<CopyrightInformation>© 2016 Royal Australasian College of Surgeons.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Theodore</LastName>
<ForeName>Jane E</ForeName>
<Initials>JE</Initials>
<AffiliationInfo>
<Affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>The University of Queensland, Mater Health Services, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Frankel</LastName>
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<Affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
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<ForeName>Janine M</ForeName>
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<Affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Mater Research Institute, Mater Health Services, Brisbane, Queensland, Australia.</Affiliation>
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<AffiliationInfo>
<Affiliation>Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia.</Affiliation>
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<AffiliationInfo>
<Affiliation>The University of Queensland, Mater Health Services, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
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<Initials>M</Initials>
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<Affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
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<LastName>Smithers</LastName>
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<Affiliation>The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Mater Research Institute, Mater Health Services, Brisbane, Queensland, Australia.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2016</Year>
<Month>04</Month>
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<Country>Australia</Country>
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<SupplMeshName Type="Disease" UI="C562393">Melanoma, Cutaneous Malignant</SupplMeshName>
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<DescriptorName UI="D021701" MajorTopicYN="N">Sentinel Lymph Node Biopsy</DescriptorName>
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<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">general surgery</Keyword>
<Keyword MajorTopicYN="N">plastic and reconstructive surgery</Keyword>
<Keyword MajorTopicYN="N">surgical oncology</Keyword>
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