scholarly journals Increase of sentinel lymph node melanoma staging in The Netherlands; still room and need for further improvement

2020 ◽  
Vol 7 (1) ◽  
pp. 27-37 ◽  
Author(s):  
Eric A Deckers ◽  
Marieke WJ Louwman ◽  
Schelto Kruijff ◽  
Harald J Hoekstra

Aim: To investigate implementation of the seventh American Joint Committee on Cancer melanoma staging with sentinel lymph node biopsy (SLNB) and associations with socioeconomic status (SES). Patients & methods: Data from The Netherlands Cancer Registry on patient and tumor characteristics were analyzed for all stage IB–II melanoma cases diagnosed 2010–2016, along with SES data from The Netherlands Institute for Social Research. Results: The proportion of SLNB-staged patients increased from 40% to 65% (p < 0.001). Multivariate analysis showed that being female, elderly, or having head-and-neck disease reduced the likelihood of SLNB staging. Conclusion: SLNB staging increased by 25% during the study period but lagged among elderly patients and those with head-and-neck melanoma. In The Netherlands, SES no longer affects SLNB staging performance.

2003 ◽  
Vol 112 (5) ◽  
pp. 1257-1265 ◽  
Author(s):  
Salvatore J. Pacella ◽  
Lori Lowe ◽  
Carol Bradford ◽  
Benjamin C. Marcus ◽  
Timothy Johnson ◽  
...  

Head & Neck ◽  
2012 ◽  
Vol 35 (5) ◽  
pp. 667-671 ◽  
Author(s):  
Kelly McDonald ◽  
Andrew J. Page ◽  
Sumanas W. Jordan ◽  
Carrie Chu ◽  
Andrea Hestley ◽  
...  

Cancer ◽  
2011 ◽  
Vol 118 (4) ◽  
pp. 1040-1047 ◽  
Author(s):  
Audrey B. Erman ◽  
Ryan M. Collar ◽  
Kent A. Griffith ◽  
Lori Lowe ◽  
Michael S. Sabel ◽  
...  

2010 ◽  
Vol 143 (2_suppl) ◽  
pp. P60-P61
Author(s):  
Matthew Miller ◽  
Roshanthi Weerasinghe ◽  
Peter Andersen ◽  
John Vetto ◽  
Neil Gross

Head & Neck ◽  
2010 ◽  
Vol 32 (12) ◽  
pp. 1686-1692 ◽  
Author(s):  
Benjamin E. Saltman ◽  
Ian Ganly ◽  
Snehal G. Patel ◽  
Daniel G. Coit ◽  
Mary Sue Brady ◽  
...  

2019 ◽  
Vol 77 (2) ◽  
pp. 129-133
Author(s):  
Ana Marta António ◽  
Cecília Moura ◽  
Carina Semedo ◽  
Sandra Bitoque ◽  
Mariluz Martins ◽  
...  

Introduction: Sentinel lymph node biopsy (SLNB) is the standard of care for cutaneous melanoma, including head and neck melanoma. The aim of this study was to analyze and characterize SLNB in a population of head and neck melanoma patients. Methods: A unicentric, retrospective study on patients with cutaneous head and neck melanoma who underwent SLNB in the Department of Head and Neck Surgery at the Portuguese Institute of Oncology (IPO) Lisbon between January 2010 and December 2017 was performed. The location of primary melanoma, the identification of SLN, the number of the excised SLN, its lymphatic basin origin and the presence of infraclinic metastasis were analysed. Results:  Ninety-eight patients were eligible to undergo SLNB during the observation period. The most frequent locations of primary melanoma were the scalp (24.5%) and the auricular and periauricular region (23.5%) and the most frequent variants were the superficial spreading melanoma (40.8%) and nodular melanoma (30.6%). SLNB was successfully executed in 78 patients (79.6%). A mean of 3.8 lymph-nodes per patient were excised and in 16.7% SLN were excised in more than one lymphatic basin. The SLN were identified in parotid region (39.8%), level II (29.5%) and level V (18.2%). SLN metastases were detected in 13 patients (16.7%). Conclusion: Surgical approach of head and neck cutaneous melanoma is particularly complex. The redundancy of lymphatic system, the multiple SLN and SLN basins influence the SLNB success and may contribute to high rates of false-negatives with its prognostic implications. All patients should be carefully monitored.  


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