Re-evaluation of Sentinel Lymph Node Biopsy for Melanoma.

Opinion Statement: The vast majority of patients newly diagnosed with melanoma present with clinically localized disease, and sentinel lymph node biopsy (SLNB) is a standard of care in the management of these patients, particularly in intermediate thickness cases, in order to provide important progn...

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Publicado en:Current Treatment Options in Oncology Vol. 22; no. 3; pp. 1 - 20
Autores principales: Morrison, Steven, Han, Dale
Formato: research Journal Article
Publicado: Springer Nature Mar2021
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
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        atl: Re-evaluation of Sentinel Lymph Node Biopsy for Melanoma.
      aug:
        au:
          Morrison, Steven
          Han, Dale
        affil: Division of Surgical Oncology, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, 97239, Portland, OR, USA
      sug:
        subj:
          Melanoma Diagnosis
          Sentinel Lymph Node Biopsy Standards
          Sentinel Lymph Node Biopsy Methods
          Melanoma Etiology
          Neoplasm Metastasis
          Reproducibility of Results
          Melanoma Therapy
          Prognosis
          Human
          Neoplasm Staging
          Algorithms
          Disease Management
          Melanoma Mortality
          Sensitivity and Specificity
          Scales
      ab: Opinion Statement: The vast majority of patients newly diagnosed with melanoma present with clinically localized disease, and sentinel lymph node biopsy (SLNB) is a standard of care in the management of these patients, particularly in intermediate thickness cases, in order to provide important prognostic data. However, SLNB also has an important role in the management of patients with other subtypes of melanoma such as thick melanomas, certain thin melanomas, and specific histologic variants of melanoma such as desmoplastic melanoma. Furthermore, there have been technical advances in the SLNB technique, such as the development of newer radiotracers and use of SPECT/CT, and there is some data to suggest performing a SLNB may be therapeutic. Finally, the management of patients with a positive sentinel lymph node (SLN) has undergone dramatic changes over the past several years based on the results of recent important clinical trials. Treatment options for patients with SLN metastases now include surveillance, completion lymph node dissection, and adjuvant therapy with checkpoint inhibitors and targeted therapy. SLNB continues to play a crucial role in the management of patients with melanoma, allowing for risk stratification, potential regional disease control, and further treatment options for patients with a positive SLN.
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      ougenre: Article
    language: English
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