Role of selective sentinel lymph node dissection in head and neck melanoma.

Leong SP

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Role of selective sentinel lymph node dissection in head and neck melanoma.

机译：选择性前哨淋巴结清扫术在头颈部黑素瘤中的作用。

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Selective sentinel lymph node dissection (SLND) plays an important role in the staging of the regional nodal basins for head and neck (H&N) melanoma. Preoperative lymphoscintigraphy is mandatory to identify the regional nodal basin(s) accurately for a newly diagnosed H&N primary melanoma of at least 1mm or greater. A wide local excision should be delayed if SLN mapping is indicated, to minimize watershed effect and maximize accuracy in identifying the "true" SLN because of the complex lymphatic network in the H&N region. An experienced multidisciplinary team is required for optimal identification of H&N SLNs. In general, selective SLND can replace ELND to minimize the complications of a neck dissection. Completion lymph node dissection is only indicated when the SLN is positive. A nerve stimulator should be used during selective SLND in the parotid and posterior triangle to minimize the injury to the facial and spinal accessory nerve.

机译：选择性前哨淋巴结清扫术（SLND）在头颈部（H＆N）黑色素瘤区域淋巴结分期中起着重要作用。对于新诊断的H＆N原发性黑色素瘤至少1mm或更大，必须进行术前淋巴闪烁照相术才能准确识别区域淋巴结。如果显示了SLN映射，则应延迟广泛的局部切除，以最大程度地减少分水岭效应，并由于H＆N区域中复杂的淋巴管网而最大化识别“真实” SLN的准确性。需要一支经验丰富的多学科团队来最佳地识别H＆N SLN。通常，选择性SLND可以替代ELND，以最大程度地减少颈清扫术的并发症。仅当SLN为阳性时才指示完成淋巴结清扫。在腮腺和后三角的选择性SLND期间应使用神经刺激器，以最大程度地减少对面部和脊柱副神经的伤害。

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《Journal of Surgical Oncology》 |2011年第4期|共8页
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Leong SP;
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正文语种 eng
中图分类肿瘤学;
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1. Role of selective sentinel lymph node dissection in head and neck melanoma. [J] . Leong SP Journal of Surgical Oncology . 2011,第4期

机译：选择性前哨淋巴结清扫术在头颈部黑素瘤中的作用。
2. The role of sentinel lymph node biopsy in the management of head and neck desmoplastic melanoma. [J] . A Mohebati, I Ganly, K J Busam, Annals of surgical oncology . 2012,第13期

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3. The role of sentinel lymph node biopsy in the management of head and neck desmoplastic melanoma. [J] . A Mohebati, I Ganly, K J Busam, Annals of surgical oncology . 2012,第13期

机译：Sentinel淋巴结活检在头颈脱模黑色素瘤中的作用。
4. Sentinel Lymph Node Biopsy in China: China multicenter study of sentinel node biopsy substituting axillary node dissection [C] . World congress on breast diseases . 2008

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7. Dilemma of clinically node-negative head and neck melanoma: Outcome of "watch and wait" policy, elective lymph node dissection, and sentinel node biopsy - A systematic review [O] . Tanis Pieter J., Nieweg Omgo E., van den Brekel Michiel W. M., 2008

机译：临床淋巴结阴性的头颈部黑素瘤的困境：“观察和等待”策略，选择性淋巴结清扫和前哨淋巴结活检的结果-系统评价

Role of selective sentinel lymph node dissection in head and neck melanoma.

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