黑色素瘤前哨淋巴结活检前的大范围局部切除术

IF 2.5 3区医学 Q2 DERMATOLOGY Dermatologic Surgery Pub Date : 2024-10-01 Epub Date: 2024-05-29 DOI:10.1097/DSS.0000000000004261

Michael Tassavor, Madalyn Bland, Olivia Goldenberg, Bryan Tassavor, Brett Coldiron

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引用次数: 0

摘要

背景：目前的指南建议，应推迟对厚层黑色素瘤进行广泛局部切除，直至可以进行前哨淋巴结活检：目前的指南建议，在可以进行前哨淋巴结活检之前，应推迟对厚层黑色素瘤进行大范围局部切除：研究文献，确定延迟对厚层黑色素瘤进行大范围局部切除是否有科学依据：对文献进行叙事性回顾，以检查所有可用的相关研究：结果：没有证据表明事先切除会影响前哨淋巴结的识别。有多种未经证实的观点认为，大面积旋转皮瓣可能会导致假阴性：结论：在进行前哨淋巴结活检之前，没有理由推迟对厚黑色素瘤进行大范围局部切除。

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Wide Local Excision Before Sentinel Lymph Node Biopsy in Melanoma.

Background: Current guidelines suggest that wide local excision of thick melanomas be delayed until sentinel lymph node biopsies can be performed.

Objective: To examine the literature and determine if there is a scientific basis for delaying wide local excision of thick melanomas.

Materials and methods: A narrative review of the literature was undertaken to examine all available studies on the subject.

Results: There is no evidence that prior excision compromises sentinel lymph node identification. There are multiple unsubstantiated suggestions that large rotation flaps may lead to false negatives.

Conclusion: There is no basis for delaying wide local excision of thick melanomas until a sentinel lymph node biopsy can be performed.

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.