Kane M, McClay E, Bellet R E
Ann Surg. 1987 Jan;205(1):88-9. doi: 10.1097/00000658-198701000-00016.
A retrospective study of the medical records of 102 patients with Stage II malignant melanoma was conducted to determine the frequency of occult residual melanoma after excision of a clinically positive regional lymph node. Twenty-one patients met the study criteria for evaluation. Fifteen of 22 dissections were positive for melanoma (68.1%). These results support definitive regional lymph node dissection if the results of excisional biopsy are abnormal. No conclusions can be drawn from these data regarding the survival advantage of therapeutic regional lymph node dissection.
对102例II期恶性黑色素瘤患者的病历进行了一项回顾性研究,以确定临床阳性区域淋巴结切除术后隐匿性残留黑色素瘤的发生率。21例患者符合研究评估标准。22例淋巴结清扫中有15例黑色素瘤阳性(68.1%)。如果切除活检结果异常,这些结果支持进行确定性区域淋巴结清扫。关于治疗性区域淋巴结清扫的生存优势,从这些数据中无法得出任何结论。