Complications associated with sentinel lymph node biopsy for melanoma

Sentinel lymph node (SLN) biopsy has become widely accepted as a method of staging the regional lymph nodes for patients with melanoma. Although it is often stated that SLN biopsy is a minimally invasive procedure associated with few complications, a paucity of data exists to specifically determine...

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Veröffentlicht in:Annals of surgical oncology 2003-07, Vol.10 (6), p.676-680
Hauptverfasser: Wrightson, William R, Wong, Sandra L, Edwards, Michael J, Chao, Celia, Reintgen, Douglas S, Ross, Merrick I, Noyes, R Dirk, Viar, Vicki, Cerrito, Patricia B, McMasters, Kelly M
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container_end_page 680
container_issue 6
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container_title Annals of surgical oncology
container_volume 10
creator Wrightson, William R
Wong, Sandra L
Edwards, Michael J
Chao, Celia
Reintgen, Douglas S
Ross, Merrick I
Noyes, R Dirk
Viar, Vicki
Cerrito, Patricia B
McMasters, Kelly M
description Sentinel lymph node (SLN) biopsy has become widely accepted as a method of staging the regional lymph nodes for patients with melanoma. Although it is often stated that SLN biopsy is a minimally invasive procedure associated with few complications, a paucity of data exists to specifically determine the morbidity associated with this procedure. This analysis was performed to evaluate the morbidity associated with SLN biopsy compared with completion lymph node dissection (CLND). Patients were enrolled in the Sunbelt Melanoma Trial, a prospective multi-institutional study of SLN biopsy for melanoma. Patients underwent SLN biopsy and were prospectively followed up for the development of complications associated with this technique. Patients who had evidence of nodal metastasis in the SLN underwent CLND. Complications associated with SLN biopsy alone were compared with those associated with SLN biopsy plus CLND. A total of 2120 patients were evaluated, with a median follow-up of 16 months. Overall, 96 (4.6%) of 2120 patients developed major or minor complications associated with SLN biopsy, whereas 103 (23.2%) of 444 patients experienced complications associated with SLN biopsy plus CLND. There were no deaths associated with either procedure. SLN biopsy alone is associated with significantly less morbidity compared with SLN biopsy plus CLND.
doi_str_mv 10.1245/ASO.2003.10.001
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Overall, 96 (4.6%) of 2120 patients developed major or minor complications associated with SLN biopsy, whereas 103 (23.2%) of 444 patients experienced complications associated with SLN biopsy plus CLND. There were no deaths associated with either procedure. 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subjects Adult
Aged
Female
Humans
Lymph Node Excision - adverse effects
Male
Melanoma - pathology
Middle Aged
Morbidity
Postoperative Complications
Sentinel Lymph Node Biopsy - adverse effects
Skin Neoplasms - pathology
title Complications associated with sentinel lymph node biopsy for melanoma
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