TY  - JOUR
T1  - EXtent of lymph node dissection in melanoma of the trunk or lower extremity
AU  - Coit DG, Brennan MF
Y1  - 1989/02/01
N1  - 10.1001/archsurg.1989.01410020032004
JO  - Archives of Surgery
SP  - 162
EP  - 166
VL  - 124
IS  - 2
N2  - • The extent of lymph node dissection necessary to optimize survival and minimize local recurrence in patients with melanoma of the trunk or lower extremity is not well defined. We reviewed the records of 420 patients undergoing superficial or combined superficial and deep groin dissection for melanoma. Prognosis depended on the extent of lymph node involvement rather than the extent of surgery performed. Node-positive patients undergoing elective lymph node dissection had an improved survival over those undergoing therapeutic lymph node dissection. In no subgroup of patients was more extensive lymphadenectomy associated with significant improvement in survival or alteration in pattern of recurrence. Dissection of the deep pelvic nodes in patients with melanoma appears to be of more prognostic than therapeutic value.(Arch Surg 1989;124:162-166)
SN  - 0004-0010
M3  - doi: 10.1001/archsurg.1989.01410020032004
UR  - http://dx.doi.org/10.1001/archsurg.1989.01410020032004
ER  -