Managing Malignant Melanoma
Autor: | William W. Dzwierzynski |
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Rok vydání: | 2013 |
Předmět: |
medicine.medical_specialty
Skin Neoplasms Biopsy medicine.medical_treatment Sentinel lymph node Antineoplastic Agents Metastasis Risk Factors medicine Humans Neoplasm Metastasis Melanoma Lymph node Neoplasm Staging Skin medicine.diagnostic_test Sentinel Lymph Node Biopsy business.industry Cancer medicine.disease Radiation therapy medicine.anatomical_structure Chemotherapy Adjuvant Lymphatic Metastasis Lymph Node Excision Radiotherapy Adjuvant Surgery Radiology Skin cancer business |
Zdroj: | Plastic and Reconstructive Surgery. 132:446e-460e |
ISSN: | 0032-1052 |
Popis: | The incidence of melanoma is increasing worldwide. Melanomas represent 3 percent of all skin cancers but 65 percent of skin cancer deaths. Melanoma is now the fifth most common cancer diagnosed in the United States. Excisional biopsy should be performed for lesions suspicious for melanoma. The pathologist's report provides essential information for surgical treatment; the most important information is the Breslow depth of the lesion. In addition to wide surgical excision of the primary lesion, sentinel lymph node biopsy is the standard of care for early identification of regional metastasis. Nodal metastasis found in the sentinel lymph node biopsy should be followed with a complete lymph node dissection. Although surgery remains the primary treatment of melanoma, recent advances in chemotherapy may offer further survival benefits to patients with metastatic disease. |
Databáze: | OpenAIRE |
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