S-classification of sentinel lymph node biopsy predicts the results of complete regional lymph node dissection

被引:30
作者
Fink, AM
Weihsengruber, F
Spangl, B
Feichtinger, H
Lilgenau, N
Rappersberger, K
Jurecka, W
Steiner, A
机构
[1] Wilhelminenspital Stadt Wien, Dept Dermatol, A-1160 Vienna, Austria
[2] Krankenhaus Rudolfstiftung, Dept Dermatol, A-1030 Vienna, Austria
[3] Univ Agr Sci, A-1180 Vienna, Austria
[4] Krankenhaus Rudolfstiftung, Dept Pathol, A-1030 Vienna, Austria
关键词
malignant melanoma; regional lymph node dissection; S-classification; sentinel lymph node biopsy;
D O I
10.1097/00008390-200508000-00006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
patients with positive sentinel lymph nodes (SLNs) at increased risk for further metastases in this specific lymph node basin. A series of consecutive patients with primary malignant melanoma stage I and 11 were evaluated retrospectively. The results of SLN biopsy in 26 patients with positive SLNs were compared with those of complete regional lymph node dissection (RLND) using the recently published S-classification of SLNs. The results of S-classification of SLNs were correlated with the outcome of complete RLND. There was a significant correlation between the S stage of positive SLNs and the results of complete RLND (P=0.02). Only patients with SIII stage (n=4) SLNs were found to have further metastases in the residual lymph node basin. The present study indicates that patients with SI stage and SII stage SLNs rarely have further metastases in the specific lymph node basin.
引用
收藏
页码:267 / 271
页数:5
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