Regional control after precision lymph node dissection for clinically evident melanoma metastasis.

ABSTRACT:

Introduction

Completion lymph node dissection (CLND) for microscopic lymph node metastases has been replaced by observation; however, CLND is standard for clinically detectable nodal metastases (cLN). CLND has high morbidity, which may be reduced by excision of only the cLN (precision lymph node dissection [PLND]). We hypothesized that same-basin recurrence risk would be low after PLND.

Methods

Retrospective review at four tertiary care hospitals identified patients who underwent PLND. The primary outcome was 3-year cumulative incidence of isolated same-basin recurrence.

Results

Twenty-one patients underwent PLND for cLN without synchronous distant metastases. Reasons for forgoing CLND included patient preference (n = 11), comorbidities (n = 5), imaging indeterminate

SUBMITTER: Lynch KT 

PROVIDER: S-EPMC11830148 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature