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In-transit sentinel nodes must be found: implication from a 10-year follow-up study in melanoma

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

The aim was to study the occurrence of in-transit nodes at a preoperative lymphoscintigraphy for patients with primary melanoma, and to reveal their potential role in prognosis. From 1984 to 1996, 911 patients, hospitalized for wide excision of a clinically localized primary cutaneous head-neck or truncal melanoma, had a static lymphoscintigraphy on the day before surgery as part of a prospective protocol. Lymph nodes were in no case removed at the time of scintigraphy. Recurrence and survival patterns were compared for patients with in-transit nodes with the remaining patients with only regional nodes. Follow-up time was a minimum of 10 years. In-transit nodes were visualized by lymphoscintigraphy in 6% of the patients, 18% of whom had a later recurrence in this region. The melanomas in the in-transit node group were slightly thicker, and ulceration was slightly more frequent (neither significant). The in-transit node group had significantly more lymph node basins visualized at scintigraphy compared with the remaining group of patients with only regional nodes. The risk of recurrence and/or death from melanoma was significantly worse (P
OriginalsprogEngelsk
TidsskriftMelanoma Research
Vol/bind18
Udgave nummer5
Sider (fra-til)359-64
Antal sider6
ISSN0960-8931
DOI
StatusUdgivet - 1 okt. 2008

ID: 10904240