Complete lymph node dissection for regional nodal metastasis

Clinics in Plastic Surgery
William W Dzwierzynski

Abstract

The primary management of lymph nodes involved with metastatic melanoma is regional lymphadenectomy. Axillary or inguinal node complete lymph node dissection (CLND) is performed after an occult metastasis is found by sentinel lymph node biopsy, or after a clinically apparent regional lymph node metastasis. CLND completely removes all lymph-node-bearing tissue in a nodal basin. This procedure continues to be controversial. No randomized prospective studies have yet determined the survival advantage of CLND. The National Comprehensive Cancer Network recommends that all patients with stage III melanoma have a CLND.

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Citations

Aug 30, 2013·Plastic and Reconstructive Surgery·William W Dzwierzynski
Apr 25, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kwang Chear LeeSanjay Varma
Feb 3, 2012·ANZ Journal of Surgery·Paul G DavisEldho Paul
Jul 29, 2016·Annals of Surgical Oncology·Catalina MosqueraTimothy L Fitzgerald

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