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Sentinel lymph node biopsy for melanoma: A critical update for dermatologists after two decades of experience

机译:黑色素瘤前哨淋巴结活检:经过二十多年经验的皮肤科医生的重要更新

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摘要

The technique of lymphatic mapping and sentinel node biopsy represents a minimally invasive approach to accurately stage the regional lymph node basin as a component of the initial management of selected patients with stage I and II cutaneous melanomas. In addition to its significant role in accurate regional nodal staging and prognosis, important goals of this procedure include improved regional disease control and possible survival benefit. After 20 years of experience, questions and some controversy persist. This review provides the dermatology community with a critical analysis of major publications that have defined the role of sentinel node biopsy, addresses several contemporary issues, and provides recommendations for appropriate patient referral.
机译:淋巴图和前哨淋巴结活检技术代表了一种微创方法,可准确分期区域淋巴结盆地,作为对部分I和II期皮肤黑素瘤患者进行初始治疗的组成部分。除了在准确的区域淋巴结分期和预后中发挥重要作用外,该手术的重要目标还包括改善区域疾病控制和可能的生存获益。经过20年的经验,问题和一些争议仍然存在。这篇综述为皮肤病学界提供了对主要出版物的重要分析,这些出版物定义了前哨淋巴结活检的作用,解决了一些当代问题,并为适当的患者转诊提供了建议。

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