Positive iliac and obturator nodes in melanoma: survival and prognostic factors.
Identifieur interne : 004C67 ( PubMed/Corpus ); précédent : 004C66; suivant : 004C68Positive iliac and obturator nodes in melanoma: survival and prognostic factors.
Auteurs : L J Strobbe ; A. Jonk ; A A Hart ; O E Nieweg ; B B KroonSource :
- Annals of surgical oncology [ 1068-9265 ]
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Female, Groin, Humans, Life Tables, Lymph Node Excision, Lymphatic Metastasis, Male, Melanoma (epidemiology), Melanoma (secondary), Melanoma (surgery), Middle Aged, Neoplasm Recurrence, Local, Netherlands (epidemiology), Prognosis, Proportional Hazards Models, Retrospective Studies, Survival Rate.
- MESH :
- geographic , epidemiology : Netherlands.
- epidemiology : Melanoma.
- secondary : Melanoma.
- surgery : Melanoma.
- Adolescent, Adult, Aged, Female, Groin, Humans, Life Tables, Lymph Node Excision, Lymphatic Metastasis, Male, Middle Aged, Neoplasm Recurrence, Local, Prognosis, Proportional Hazards Models, Retrospective Studies, Survival Rate.
Abstract
The need for deep groin dissection when superficial nodes contain metastatic melanoma is controversial.
PubMed: 10340884
Links to Exploration step
pubmed:10340884Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Positive iliac and obturator nodes in melanoma: survival and prognostic factors.</title><author><name sortKey="Strobbe, L J" sort="Strobbe, L J" uniqKey="Strobbe L" first="L J" last="Strobbe">L J Strobbe</name><affiliation><nlm:affiliation>Department of Surgery, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Ziekenhuis, Amsterdam.</nlm:affiliation></affiliation></author><author><name sortKey="Jonk, A" sort="Jonk, A" uniqKey="Jonk A" first="A" last="Jonk">A. Jonk</name></author><author><name sortKey="Hart, A A" sort="Hart, A A" uniqKey="Hart A" first="A A" last="Hart">A A Hart</name></author><author><name sortKey="Nieweg, O E" sort="Nieweg, O E" uniqKey="Nieweg O" first="O E" last="Nieweg">O E Nieweg</name></author><author><name sortKey="Kroon, B B" sort="Kroon, B B" uniqKey="Kroon B" first="B B" last="Kroon">B B Kroon</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>1999 Apr-May</MedlineDate></PubDate></date><idno type="RBID">pubmed:10340884</idno><idno type="pmid">10340884</idno><idno type="wicri:Area/PubMed/Corpus">004C67</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">004C67</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Positive iliac and obturator nodes in melanoma: survival and prognostic factors.</title><author><name sortKey="Strobbe, L J" sort="Strobbe, L J" uniqKey="Strobbe L" first="L J" last="Strobbe">L J Strobbe</name><affiliation><nlm:affiliation>Department of Surgery, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Ziekenhuis, Amsterdam.</nlm:affiliation></affiliation></author><author><name sortKey="Jonk, A" sort="Jonk, A" uniqKey="Jonk A" first="A" last="Jonk">A. Jonk</name></author><author><name sortKey="Hart, A A" sort="Hart, A A" uniqKey="Hart A" first="A A" last="Hart">A A Hart</name></author><author><name sortKey="Nieweg, O E" sort="Nieweg, O E" uniqKey="Nieweg O" first="O E" last="Nieweg">O E Nieweg</name></author><author><name sortKey="Kroon, B B" sort="Kroon, B B" uniqKey="Kroon B" first="B B" last="Kroon">B B Kroon</name></author></analytic><series><title level="j">Annals of surgical oncology</title><idno type="ISSN">1068-9265</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Groin</term><term>Humans</term><term>Life Tables</term><term>Lymph Node Excision</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>Neoplasm Recurrence, Local</term><term>Netherlands (epidemiology)</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Retrospective Studies</term><term>Survival Rate</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Netherlands</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Melanoma</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" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Aged</term><term>Female</term><term>Groin</term><term>Humans</term><term>Life Tables</term><term>Lymph Node Excision</term><term>Lymphatic Metastasis</term><term>Male</term><term>Middle Aged</term><term>Neoplasm Recurrence, Local</term><term>Prognosis</term><term>Proportional Hazards Models</term><term>Retrospective Studies</term><term>Survival Rate</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The need for deep groin dissection when superficial nodes contain metastatic melanoma is controversial.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10340884</PMID><DateCreated><Year>1999</Year><Month>07</Month><Day>08</Day></DateCreated><DateCompleted><Year>1999</Year><Month>07</Month><Day>08</Day></DateCompleted><DateRevised><Year>2007</Year><Month>07</Month><Day>18</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1068-9265</ISSN><JournalIssue CitedMedium="Print"><Volume>6</Volume><Issue>3</Issue><PubDate><MedlineDate>1999 Apr-May</MedlineDate></PubDate></JournalIssue><Title>Annals of surgical oncology</Title><ISOAbbreviation>Ann. Surg. Oncol.</ISOAbbreviation></Journal><ArticleTitle>Positive iliac and obturator nodes in melanoma: survival and prognostic factors.</ArticleTitle><Pagination><MedlinePgn>255-62</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The need for deep groin dissection when superficial nodes contain metastatic melanoma is controversial.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A review of 362 therapeutic groin dissections performed at our tertiary referral center between 1961 and 1995 revealed 71 patients (20%) with positive iliac and/or obturator nodes. This group was analyzed for survival rates, prognostic factors for survival, regional tumor control, and morbidity.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Patients with involved deep nodes exhibited overall 5-year and 10-year survival rates of 24% (SE, 5%) and 20% (SE, 5%), respectively. Independent prognostic factors for survival were the number of positive iliac nodes (P = .0011), the Breslow thickness (P = .0069), and the site of the primary tumor (P = .0075). Patients with an unknown primary tumor seemed to have better prognoses. Seven patients (10%) experienced recurrence in the surgically treated groin. The short- and long-term morbidity rates (infection, 17%; skin flap necrosis, 15%; seroma, 17%; mild/ moderate lymphedema, 19%; severe lymphedema, 6%) compared well with those of other series studying inguinal as well as ilioinguinal dissections.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">From the present study it can be concluded that removal of deep lymph node metastases is worthwhile, because one of every five such patients survives for 10 years. Prognostic factors for survival are the number of involved iliac nodes, the Breslow thickness, and the site of the primary tumor. Long-term regional tumor control can be obtained for 90% of the patients. The morbidity of an additional deep lymph node dissection is acceptable.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Strobbe</LastName><ForeName>L J</ForeName><Initials>LJ</Initials><AffiliationInfo><Affiliation>Department of Surgery, The Netherlands Cancer Institute/Antoni van Leeuwenhoek Ziekenhuis, Amsterdam.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jonk</LastName><ForeName>A</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Hart</LastName><ForeName>A A</ForeName><Initials>AA</Initials></Author><Author ValidYN="Y"><LastName>Nieweg</LastName><ForeName>O E</ForeName><Initials>OE</Initials></Author><Author ValidYN="Y"><LastName>Kroon</LastName><ForeName>B B</ForeName><Initials>BB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Ann Surg Oncol</MedlineTA><NlmUniqueID>9420840</NlmUniqueID><ISSNLinking>1068-9265</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Ann Surg Oncol. 1999 Apr-May;6(3):230-1</RefSource><PMID Version="1">10340880</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006119" MajorTopicYN="N">Groin</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015993" MajorTopicYN="N">Life Tables</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008207" MajorTopicYN="N">Lymphatic Metastasis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008545" MajorTopicYN="N">Melanoma</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000556" MajorTopicYN="Y">secondary</QualifierName><QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009364" MajorTopicYN="N">Neoplasm Recurrence, Local</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009426" MajorTopicYN="N" Type="Geographic">Netherlands</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011379" MajorTopicYN="N">Prognosis</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015996" MajorTopicYN="N">Survival Rate</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1999</Year><Month>5</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>1999</Year><Month>5</Month><Day>26</Day><Hour>0</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>1999</Year><Month>5</Month><Day>26</Day><Hour>0</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10340884</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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