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Comment
. 2014 May;11(5):245-6.
doi: 10.1038/nrclinonc.2014.65. Epub 2014 Apr 15.

Melanoma: Why is sentinel lymph node biopsy 'standard of care' for melanoma?

Affiliations
Comment

Melanoma: Why is sentinel lymph node biopsy 'standard of care' for melanoma?

James C Yang et al. Nat Rev Clin Oncol. 2014 May.

Abstract

A large definitive trial comparing the use of sentinel lymph node biopsy and elective lymph node dissection to observation in patients with intermediate thickness melanomas fails to show improved melanoma-specific survival. These results demand reconsideration of the routine use of sentinel lymph node biopsy in the treatment of primary melanoma.

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Conflict of interest statement

Competing interests

The authors declare no competing interests.

Comment in

Comment on

  • Final trial report of sentinel-node biopsy versus nodal observation in melanoma.
    Morton DL, Thompson JF, Cochran AJ, Mozzillo N, Nieweg OE, Roses DF, Hoekstra HJ, Karakousis CP, Puleo CA, Coventry BJ, Kashani-Sabet M, Smithers BM, Paul E, Kraybill WG, McKinnon JG, Wang HJ, Elashoff R, Faries MB; MSLT Group. Morton DL, et al. N Engl J Med. 2014 Feb 13;370(7):599-609. doi: 10.1056/NEJMoa1310460. N Engl J Med. 2014. PMID: 24521106 Free PMC article. Clinical Trial.

References

    1. Morton DL et al. Technical details of intraoperative lymphatic mapping for early stage melanoma. Arch. Surg 127, 392–399 (1992). - PubMed
    1. Veronesi U et al. Inefficacy of immediate node dissection in stage 1 melanoma of the limbs. N. Engl. J. Med 297, 627–630 (1977). - PubMed
    1. Balch CM et al. Long-term results of a multi-institutional randomized trial comparing prognostic factors and surgical results for intermediate thickness melanomas (1.0 to 4.0 mm). Ann. Surg. Oncol 7, 87–97 (2000). - PubMed
    1. Morton DL et al. Sentinel-node biopsy or nodal observation in melanoma. N. Engl. J. Med 355, 1307–1317 (2006). - PubMed
    1. Morton DL et al. Final trial report of sentinel-node biopsy versus nodal observation in melanoma. N. Engl. J. Med 370, 599–609 (2014). - PMC - PubMed