Orszemnyirokcsomó-biopsziával szerzett tapasztalataink melanoma malignumban

Translated title of the contribution: Sentinel node biopsy in melanoma malignum

J. Oláh, R. Gyulai, J. Varga, G. Mohos, K. Kapitány, M. Papos, L. Pávics, E. Varga, I. Korom, A. Dobozy

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

INTRODUCTION - For many decades there has been no adequate treatment for affected regional lymph nodes in melanoma malignum. In the last couple of years with the implementation of the sentinel lymph node biopsy technique, it became possible to perform selective lymphadenectomy, i.e. to perform radical block dissection only in cases of histologically proven metastases in the sentinel lymph nodes. Since the lymphatic involvement in melanoma malignum is the most important prognostic factor, it is essential to treat lymphatic etastases as early as possible to get the best results. PATIENTS AND METHODS - In the past two years we have removed the sentinel lymph nodes together with primary tumors being 1 mm or thicker, ulcerated and regressive, based on clinical appearance in 120 melanoma cases. RESULTS - Of the 120 sentinel lymph node biopsies 58 contained metastatic cells. Beside tumor thickness, histological features of regression were found to correlate with the positivity of the sentinel nodes in thin melanoma cases. CONCLUSIONS - Sentinel lymph node biopsy is a relatively simple procedure with minimal complication rate. It allows early therapeutical block dissection and the selection of patients who require adjuvant therapy. Our clinical observations suggest that beside tumor thickness and ulceration, the clinical and histological signs of regression are important factors to consider for the indication of sentinel node biopsy.

Translated title of the contributionSentinel node biopsy in melanoma malignum
Original languageHungarian
Pages (from-to)536-541
Number of pages6
JournalLege Artis Medicinae
Volume11
Issue number8-9
Publication statusPublished - Oct 30 2001

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Sentinel node biopsy in melanoma malignum'. Together they form a unique fingerprint.

  • Cite this

    Oláh, J., Gyulai, R., Varga, J., Mohos, G., Kapitány, K., Papos, M., Pávics, L., Varga, E., Korom, I., & Dobozy, A. (2001). Orszemnyirokcsomó-biopsziával szerzett tapasztalataink melanoma malignumban. Lege Artis Medicinae, 11(8-9), 536-541.