Inguinal node dissection for melanoma in the era of sentinel lymph node biopsy.
Identifieur interne : 003619 ( PubMed/Curation ); précédent : 003618; suivant : 003620Inguinal node dissection for melanoma in the era of sentinel lymph node biopsy.
Auteurs : Michael S. Sabel [États-Unis] ; Kent A. Griffith ; Alisha Arora ; Josef Shargorodsky ; Dan G. Blazer ; Riley Rees ; Sandra L. Wong ; Vincent M. Cimmino ; Alfred E. ChangSource :
- Surgery [ 0039-6060 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Aine, Analyse de survie, Biopsie de noeud lymphatique sentinelle, Femelle, Humains, Indice de masse corporelle, Lymphadénectomie (effets indésirables), Lymphoedème (étiologie), Mâle, Mélanome (), Mélanome (anatomopathologie), Mélanome (diagnostic), Mélanome (secondaire), Palpation, Récidive tumorale locale, Sujet âgé, Sujet âgé de 80 ans ou plus, Tumeurs cutanées (anatomopathologie), Études rétrospectives, Évaluation des risques.
- MESH :
- anatomopathologie : Mélanome, Tumeurs cutanées.
- diagnostic : Mélanome.
- effets indésirables : Lymphadénectomie.
- secondaire : Mélanome.
- étiologie : Lymphoedème.
- Adolescent, Adulte, Adulte d'âge moyen, Aine, Analyse de survie, Biopsie de noeud lymphatique sentinelle, Femelle, Humains, Indice de masse corporelle, Mâle, Mélanome, Palpation, Récidive tumorale locale, Sujet âgé, Sujet âgé de 80 ans ou plus, Études rétrospectives, Évaluation des risques.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Aged, 80 and over, Body Mass Index, Female, Groin, Humans, Lymph Node Excision (adverse effects), Lymphedema (etiology), Male, Melanoma (diagnosis), Melanoma (pathology), Melanoma (secondary), Melanoma (surgery), Middle Aged, Neoplasm Recurrence, Local, Palpation, Retrospective Studies, Risk Assessment, Sentinel Lymph Node Biopsy, Skin Neoplasms (pathology), Survival Analysis.
- MESH :
- adverse effects : Lymph Node Excision.
- diagnosis : Melanoma.
- etiology : Lymphedema.
- pathology : Melanoma, Skin Neoplasms.
- secondary : Melanoma.
- surgery : Melanoma.
- Adolescent, Adult, Aged, Aged, 80 and over, Body Mass Index, Female, Groin, Humans, Male, Middle Aged, Neoplasm Recurrence, Local, Palpation, Retrospective Studies, Risk Assessment, Sentinel Lymph Node Biopsy, Survival Analysis.
Abstract
With the introduction of sentinel lymph node (SLN) biopsy for melanoma, inguinal lymph node dissections (ILND) are more commonly performed for microscopic disease than for clinically palpable disease. We sought to examine the effect this change has on the morbidity of the operation.
DOI: 10.1016/j.surg.2006.12.018
PubMed: 17560249
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pubmed:17560249Le document en format XML
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<term>Body Mass Index</term>
<term>Female</term>
<term>Groin</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aine</term>
<term>Analyse de survie</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de masse corporelle</term>
<term>Lymphadénectomie (effets indésirables)</term>
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<term>Tumeurs cutanées (anatomopathologie)</term>
<term>Études rétrospectives</term>
<term>Évaluation des risques</term>
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<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Mélanome</term>
<term>Tumeurs cutanées</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Melanoma</term>
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<term>Skin Neoplasms</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
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<term>Humans</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Aine</term>
<term>Analyse de survie</term>
<term>Biopsie de noeud lymphatique sentinelle</term>
<term>Femelle</term>
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<term>Indice de masse corporelle</term>
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<term>Récidive tumorale locale</term>
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<front><div type="abstract" xml:lang="en">With the introduction of sentinel lymph node (SLN) biopsy for melanoma, inguinal lymph node dissections (ILND) are more commonly performed for microscopic disease than for clinically palpable disease. We sought to examine the effect this change has on the morbidity of the operation.</div>
</front>
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<DateCreated><Year>2007</Year>
<Month>06</Month>
<Day>11</Day>
</DateCreated>
<DateCompleted><Year>2007</Year>
<Month>07</Month>
<Day>16</Day>
</DateCompleted>
<DateRevised><Year>2007</Year>
<Month>06</Month>
<Day>11</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0039-6060</ISSN>
<JournalIssue CitedMedium="Print"><Volume>141</Volume>
<Issue>6</Issue>
<PubDate><Year>2007</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Surgery</Title>
<ISOAbbreviation>Surgery</ISOAbbreviation>
</Journal>
<ArticleTitle>Inguinal node dissection for melanoma in the era of sentinel lymph node biopsy.</ArticleTitle>
<Pagination><MedlinePgn>728-35</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">With the introduction of sentinel lymph node (SLN) biopsy for melanoma, inguinal lymph node dissections (ILND) are more commonly performed for microscopic disease than for clinically palpable disease. We sought to examine the effect this change has on the morbidity of the operation.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective review was performed of all patients who underwent an ILND for melanoma between October 1997 and April, 2006. Clinical and pathologic data were collected and correlated by multivariate analysis with the incidence of a major wound complication.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">We identified 212 patients, 132 who underwent an ILND for a positive SLN and 80 for clinically palpable disease. Age, sex, and body mass index (BMI) were similar in both groups. Patients with clinically palpable disease had a significantly greater number of involved nodes (3.0 vs 1.96, P = .0013), more often had >or=4 involved nodes (29% vs 9%, P < .001), and a greater incidence of extranodal extension (47% vs 5%, P < .001). Of the 212 patients, 41 (19%) had a significant wound complication. This complication was significantly higher among patients with clinical disease compared to patients with a positive SLN (28% vs 14%, P = .02). Only BMI (odds ratio of 1.1) and the indication for the procedure (odds ratio of 2.2) were independent predictors of a major wound complication. Lymphedema occurred in 30% of the patients and was only significantly associated with clinical disease (41% vs 24%, P = .025). With a median follow-up of 2 years, regional recurrence was not significantly greater in patients with clinically palpable disease (13% vs 9%, P = not significant [ns]), although this result was possibly due to the significantly greater rate of distant recurrence (49% vs 18%, P < .001) and death (48% vs 21%) in these patients.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Patients undergoing an ILND for a positive SLN have a significantly lower risk of postoperative complication or lymphedema than do patients undergoing ILND for clinically palpable disease. There is a benefit in regard to the morbidity of treatment in surgically staging melanoma patients by SLN biopsy and preventing ILND for palpable disease.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sabel</LastName>
<ForeName>Michael S</ForeName>
<Initials>MS</Initials>
<AffiliationInfo><Affiliation>Division of Surgical Oncology, Department of Surgery, University of Michigan Comprehensive Cancer Center, Ann Arbor, MI, USA.msabel@umich.edu </Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Griffith</LastName>
<ForeName>Kent A</ForeName>
<Initials>KA</Initials>
</Author>
<Author ValidYN="Y"><LastName>Arora</LastName>
<ForeName>Alisha</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Shargorodsky</LastName>
<ForeName>Josef</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Blazer</LastName>
<ForeName>Dan G</ForeName>
<Initials>DG</Initials>
<Suffix>3rd</Suffix>
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<Author ValidYN="Y"><LastName>Rees</LastName>
<ForeName>Riley</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Wong</LastName>
<ForeName>Sandra L</ForeName>
<Initials>SL</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cimmino</LastName>
<ForeName>Vincent M</ForeName>
<Initials>VM</Initials>
</Author>
<Author ValidYN="Y"><LastName>Chang</LastName>
<ForeName>Alfred E</ForeName>
<Initials>AE</Initials>
</Author>
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<Language>eng</Language>
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<MeshHeading><DescriptorName UI="D008197" MajorTopicYN="Y">Lymph Node Excision</DescriptorName>
<QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<MeshHeading><DescriptorName UI="D008545" MajorTopicYN="N">Melanoma</DescriptorName>
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<MeshHeading><DescriptorName UI="D021701" MajorTopicYN="Y">Sentinel Lymph Node Biopsy</DescriptorName>
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<MeshHeading><DescriptorName UI="D012878" MajorTopicYN="N">Skin Neoplasms</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="Y">pathology</QualifierName>
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<MeshHeading><DescriptorName UI="D016019" MajorTopicYN="N">Survival Analysis</DescriptorName>
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