Journal article

A survey of surgical management of the sentinel node positive melanoma patient in the post-MSLT2 era

Jennifer S Downs, Suren Subramanian, Michael A Henderson, Elizabeth Paton, Andrew J Spillane, Jon A Mathy, David E Gyorki

JOURNAL OF SURGICAL ONCOLOGY | WILEY | Published : 2021

Abstract

BACKGROUND: The evidence-based management of melanoma patients with a positive sentinel lymph node biopsy (SLNB) has undergone a dramatic shift following publication of practice-changing surgical trials demonstrating no melanoma-specific survival advantage for completion lymph node dissection (CLND) in this scenario. We aimed to survey how surgeons' clinical practice had shifted in response to new evidence from these trials, and at a time when there was starting to become available systemic adjuvant treatments for AJCC Stage III melanoma patients. METHODS: A web-based survey consisting of practice-based questions and hypothetical clinical scenarios about current melanoma practice with regard..

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