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淋巴结清扫术在恶性黑色素瘤中的预后价值

Prognostic value of lymph node dissection in malignant melanoma.

作者信息

Karakousis C P, Seddiq M K, Moore R

出版信息

Arch Surg. 1980 Jun;115(6):719-22. doi: 10.1001/archsurg.1980.01380060021006.

DOI:10.1001/archsurg.1980.01380060021006
PMID:7387358
Abstract

Retrospective review of 199 patients with malignant melanoma who had regional node dissection showed that the median survival rates of patients with histologically negative nodes was more than threefold higher than that of patients with histologically positive regional nodes. In the patients with positive nodes, survival was related to the number of nodes involved. Patients with one, two, and three or more positive lymph nodes had a tumor-free five-year survival rate of 41%, 30%, and 18%. Patients who required regional node dissection for positive palpable nodes in one month, one year, or longer than one year from the excision of the primary tumor had a median survival of 21.5, 22, and 44 months.

摘要

对199例行区域淋巴结清扫术的恶性黑色素瘤患者进行回顾性研究发现,组织学检查淋巴结阴性的患者的中位生存率比区域淋巴结组织学检查阳性的患者高出三倍多。在淋巴结阳性的患者中,生存率与受累淋巴结的数量有关。有1个、2个以及3个或更多阳性淋巴结的患者的无瘤五年生存率分别为41%、30%和18%。在原发肿瘤切除后1个月、1年或超过1年因可触及的阳性淋巴结而需要进行区域淋巴结清扫术的患者,其中位生存期分别为21.5个月、22个月和44个月。

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引用本文的文献

1
British Association of Clinical Anatomists: Abstracts of papers presented at the Annual General Meeting on 11th January 1985 at The Queen Elizabeth Postgraduate Centre, University of Birmingham.英国临床解剖学家协会:1985年1月11日于伯明翰大学伊丽莎白女王研究生中心举行的年度大会上发表的论文摘要。
Ann R Coll Surg Engl. 1986 Mar;68(2):110-4.
2
A 15-year follow-up of AJCC stage III malignant melanoma patients treated postsurgically with Newcastle disease virus (NDV) oncolysate and determination of alterations in the CD8 T cell repertoire.对接受新城疫病毒(NDV)溶瘤产物术后治疗的美国癌症联合委员会(AJCC)III期恶性黑色素瘤患者进行15年随访,并确定CD8 T细胞库的变化。
Mol Med. 1998 Dec;4(12):783-94.
3
A multifactorial analysis of melanoma: III. Prognostic factors in melanoma patients with lymph node metastases (stage II).
黑色素瘤的多因素分析:III. 有淋巴结转移的黑色素瘤患者(II期)的预后因素
Ann Surg. 1981 Mar;193(3):377-88. doi: 10.1097/00000658-198103000-00023.
4
Factors prognostic for survival in patients with malignant melanoma spread to the regional lymph nodes.恶性黑色素瘤扩散至区域淋巴结患者生存的预后因素。
Ann Surg. 1982 Jul;196(1):69-75. doi: 10.1097/00000658-198207000-00015.
5
[Surgical treatment of malignant melanomas of the skin].[皮肤恶性黑色素瘤的外科治疗]
Langenbecks Arch Chir. 1984;362(1):33-41. doi: 10.1007/BF01263318.
6
Prognosis of patients with pathologic stage II cutaneous malignant melanoma.病理II期皮肤恶性黑色素瘤患者的预后
Ann Surg. 1985 Jan;201(1):103-7.
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Frequency of occult residual melanoma after excision of a clinically positive regional lymph node.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。
Ann Surg. 1987 Jan;205(1):88-9. doi: 10.1097/00000658-198701000-00016.
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Prognostic factors in patients with melanoma metastatic to axillary or inguinal lymph nodes. A multivariate analysis.黑色素瘤转移至腋窝或腹股沟淋巴结患者的预后因素。一项多变量分析。
Ann Surg. 1991 Nov;214(5):627-36. doi: 10.1097/00000658-199111000-00014.
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The prognosis of melanoma patients with metastases to two or more lymph node areas.黑色素瘤患者出现转移至两个或更多淋巴结区域时的预后情况。
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Management of the regional lymph nodes in patients with cutaneous malignant melanoma.
World J Surg. 1992 Mar-Apr;16(2):214-21. doi: 10.1007/BF02071523.