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Wide Local Excision and Sentinel Lymph Node Biopsy for Melanoma

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Chassin's Operative Strategy in General Surgery

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Abstract

Wide local excision is performed for local control of both in situ and invasive melanomas. The width of recommended margin depends upon the Breslow thickness of the lesion, with narrow margins used for in situ lesions and 2.0 cm margins used for thick or high-risk melanomas. Sentinel lymph node biopsy is used in selected clinically node-negative patients. This chapter discusses indications, operative strategy, and techniques for both. It includes information on preoperative and postoperative management as well as complications.

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Further Reading

  • Boland GM, Gershenwald JE. Sentinel lymph node biopsy in melanoma. Cancer J. 2012;18:185–91.

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  • Egnatios GL, Dueck AC, Macdonald JB, Laman SD, Warshaw KE, DiCaudo DJ, Nemeth SA, et al. The impact of biopsy technique on upstaging, residual disease, and outcome in cutaneous melanoma. Am J Surg. 2011;202:771–7.

    Article  Google Scholar 

  • National Comprehensive Cancer Network (NCCN) guidelines. Available from: http://www.nccn.org/professionals/physician_gls/f_guidelines.asp.

  • Ott PA, Berman RS. Surgical approach to primary cutaneous melanoma. Surg Oncol Clin N Am. 2011;20:39–56.

    Article  Google Scholar 

  • Ross MI, Thompson JF, Gershenwald JE. Sentinel lymph node biopsy for melanoma: critical assessment at its twentieth anniversary. Surg Oncol Clin N Am. 2011;20:57–78.

    Article  Google Scholar 

  • Steen ST, Kargozaran H, Moran CJ, Shin-Sim M, Morton DL, Faries MB. Management of popliteal sentinel nodes in melanoma. J Am Coll Surg. 2011;213:180–7.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Surgical Oncology and Endocrine Surgery, University of Iowa, Iowa City, IA, USA

    Carlos H. F. Chan & Hisakazu Hoshi

Authors
  1. Carlos H. F. Chan
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  2. Hisakazu Hoshi
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Corresponding author

Correspondence to Hisakazu Hoshi .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Carol E. H. Scott-Conner

  2. Department of Surgery, Division of Colorectal Surgery, City of Hope National Medical Center/Comprehensive Cancer Center, Duarte, CA, USA

    Andreas M. Kaiser

  3. Department of Surgery, University of California, Irvine, Orange, CA, USA

    Ninh T. Nguyen

  4. Division of Surgical Oncology, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Umut Sarpel

  5. Department of Surgery, University of Iowa Carver College of Medicine, Iowa City, IA, USA

    Sonia L. Sugg

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Chan, C.H.F., Hoshi, H. (2022). Wide Local Excision and Sentinel Lymph Node Biopsy for Melanoma. In: Scott-Conner, C.E.H., Kaiser, A.M., Nguyen, N.T., Sarpel, U., Sugg, S.L. (eds) Chassin's Operative Strategy in General Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-81415-1_123

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  • DOI: https://doi.org/10.1007/978-3-030-81415-1_123

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81414-4

  • Online ISBN: 978-3-030-81415-1

  • eBook Packages: MedicineMedicine (R0)

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