Bartlett Edmund K
Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY.
J Surg Oncol. 2019 Jan;119(2):200-207. doi: 10.1002/jso.25316. Epub 2018 Nov 27.
The publication of recent randomized trials has prompted a significant shift in both our understanding and the management of patients with melanoma. Here, the current management of the regional lymph nodes in patients with melanoma is discussed. This review focuses on selection for sentinel lymph node biopsy, management of the positive sentinel node, management of the clinically positive node, and the controversy over the therapeutic value of early nodal intervention.
近期随机试验的发表促使我们对黑色素瘤患者的理解和管理发生了重大转变。在此,将讨论黑色素瘤患者区域淋巴结的当前管理方法。本综述重点关注前哨淋巴结活检的选择、前哨淋巴结阳性的管理、临床阳性淋巴结的管理以及早期淋巴结干预治疗价值的争议。