A proposal for the timing of management of patients with melanoma presenting during pregnancy
| Autor: | Marc B. Faries, Deepak Narayan, Niclas Broer, Carolyn G. Goldberg, Carolyn Truini, Samuel Buonocore, Stephan Ariyan |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Skin Neoplasms medicine.medical_treatment Sentinel lymph node Pregnancy Medicine Humans Local anesthesia neoplasms Melanoma Neoplasm Staging Retrospective Studies business.industry Sentinel Lymph Node Biopsy General surgery Incidence (epidemiology) Decision Trees Retrospective cohort study General Medicine medicine.disease Primary tumor Surgery Treatment Outcome Oncology Lymphatic Metastasis Lymph Node Excision Lymphadenectomy Female Lymph Nodes Pregnancy Trimesters business Pregnancy Complications Neoplastic Algorithms |
| Zdroj: | Journal of surgical oncology. 106(1) |
| ISSN: | 1096-9098 |
| Popis: | The treatment of melanoma during and immediately after pregnancy poses a significant challenge to surgeons, oncologists, and patients alike. With the overall increase in incidence of melanoma in the United States and worldwide, it is likely that more surgeons will be faced with management decisions regarding pregnant patients with melanoma. We report on five patients who presented to the Yale Melanoma Unit with melanoma during their pregnancy. We propose the management option of resection of the primary tumor under local anesthesia, and postponing of the sentinel lymph node biopsy until after the birth of the child. The completion lymphadenectomy can be performed if these nodes are found to be harboring metastases. We further discuss treatment options and propose an algorithm for management of patients diagnosed with melanoma while pregnant. |
| Databáze: | OpenAIRE |
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