| Journal: | Anais brasileiros de dermatologia |
| Database: | PERIÓDICA |
| System number: | 000421988 |
| ISSN: | 0365-0596 |
| Authors: | Eiger, Daniel1 Oliveira, Daniel Arcuschin de1 Oliveira, Renato Leao de2 Sousa, Murilo Costa1 Brandao, Mireille Darc Cavalcante1 Oliveira-Filho ,Renato Santos de1 |
| Institutions: | 1Clínica Professor Doutor Renato Santos, Sao Paulo. Brasil 2Universidade Brasil, Departamento de Oncologia e Cirurgia, Fernandopolis, Sao Paulo. Brasil |
| Year: | 2018 |
| Season: | Jul-Ago |
| Volumen: | 93 |
| Number: | 4 |
| Pages: | 553-558 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Cutaneous melanoma is the solid neoplasia with the highest growing incidence among all tumors. It spreads predictably to the lymphatic vessels and sentinel lymph node, and when the latter is affected the prognosis worsens dramatically. Sentinel lymph node biopsy is considered when thickness of the primary tumor exceeds 1mm and/or when there are adverse features in thinner melanomas. When there is nodal metastasis, current evidence in the literature recommends complete lymphadenectomy, although this procedure has its intrinsic risks (i.e., lymphedema and cellulitis), and there are no published clinical trials proving additional overall survival benefits. The current in-depth literature review thus aims to identify patients that will benefit most from the procedure, including those with the highest likelihood of presenting additional affected lymph nodes in the same nodal basin. The authors also discuss techniques for identification of the sentinel lymph node, false-negative rates, and predictive models for lymph node involvement. In conclusion, complete elective lymphadenectomy should always be discussed on a case-by-case basis when metastases are detected in the sentinel lymph node |
| Disciplines: | Medicina |
| Keyword: | Dermatología, Oncología, Diagnóstico, Biopsia, Nodo centinela, Melanoma, Metástasis linfática |
| Keyword: | Dermatology, Oncology, Diagnosis, Biopsy, Sentinel lymph node, Melanoma, Lymphatic metastasis |
| Full text: | Texto completo (Ver HTML) |
