Easson Alexandra M, Rotstein Lorne E, McCready David R
Department of Surgery, University of Toronto, Toronto, Ontario, Canada.
J Surg Oncol. 2009 Mar 15;99(4):176-85. doi: 10.1002/jso.21202.
The surgical management of lymph nodes continues to be important in melanoma since effective systemic therapies are not available. Controversy exists around the significance of the early detection and management of microscopically positive lymph nodes detected by sentinel lymph node biopsy and this is the subject of current surgical clinical trials. Complete lymphadenectomy is recommended for lymph node metastases. The importance of proper surgical technique is discussed.
由于尚无有效的全身治疗方法，淋巴结的外科处理在黑色素瘤治疗中仍然很重要。对于前哨淋巴结活检发现的微小阳性淋巴结，其早期检测和处理的意义存在争议，这也是当前外科临床试验的主题。对于淋巴结转移，建议行根治性淋巴结清扫术。文中讨论了正确手术技术的重要性。
