淋巴结与黑色素瘤外科医生：重新定义长期关系。
Lymph nodes and the melanoma surgeon: re-defining a long-term relationship.
作者信息
Brady Mary S
机构信息
Gastric & Mixed Tumor Service, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.
出版信息
Melanoma Manag. 2016 Mar;3(1):73-82. doi: 10.2217/mmt.15.42. Epub 2016 Feb 24.
Abstract
Surgeons now have an enhanced ability to stage patients with clinically localized cutaneous melanoma using sentinel lymph node biopsy. Despite this, the weight of clinical evidence is tilting in favor of a measured approach to pre-emptive lymph node removal. Careful consideration of whether traditional surgical approaches to the regional nodes, whether done in the name of 'staging' or pre-emptive removal of a potential site of relapse, really 'benefit' the patient is paramount for optimal care.
摘要
目前，外科医生通过前哨淋巴结活检对临床局限性皮肤黑色素瘤患者进行分期的能力有所增强。尽管如此，临床证据的权重正倾向于采取慎重的方法进行预防性淋巴结切除。对于以“分期”之名或预防性切除潜在复发部位的方式对区域淋巴结采用传统手术方法是否真的能给患者带来“益处”进行仔细考量，对于实现最佳治疗至关重要。
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