Pathologic staging of melanoma

The American Joint Committee on Cancer (AJCC) recently launched a new staging system for cutaneous melanoma that was based on clinical experience with a large number of patients treated in major centers worldwide. As this system includes various histopathologic parameters of the primary melanoma and...

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Veröffentlicht in:Seminars in oncology 2002-08, Vol.29 (4), p.370-381
Hauptverfasser: Ruiter, Dirk J., Spatz, Alain, van den Oord, Joost J., Cook, Martin G.
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container_end_page 381
container_issue 4
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container_title Seminars in oncology
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creator Ruiter, Dirk J.
Spatz, Alain
van den Oord, Joost J.
Cook, Martin G.
description The American Joint Committee on Cancer (AJCC) recently launched a new staging system for cutaneous melanoma that was based on clinical experience with a large number of patients treated in major centers worldwide. As this system includes various histopathologic parameters of the primary melanoma and of melanoma metastasis, including micrometastases in the sentinel lymph node (SLN), they are discussed here. Special attention is given to ulceration of the primary tumor, because it remains a dominant prognostic parameter in addition to tumor thickness. Molecular markers that may reflect aggressive behavior of the primary melanoma also are described. Finally, pathologic examination of SLNs is addressed with emphasis on the efficacy of various microstaging approaches. Semin Oncol 29:370-381. Copyright 2002, Elsevier Science (USA). All rights reserved.
doi_str_mv 10.1053/sonc.2002.34116
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subjects Antibodies
Biomarkers, Tumor - analysis
DNA, Neoplasm - analysis
Humans
Lymph Nodes - pathology
Lymphatic Metastasis - pathology
Melanoma - pathology
Melanoma - secondary
Neoplasm Proteins - analysis
Neoplasm Staging
Prognosis
Reverse Transcriptase Polymerase Chain Reaction
Risk Factors
Sentinel Lymph Node Biopsy
Skin Neoplasms - pathology
Skin Ulcer - pathology
title Pathologic staging of melanoma
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