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Chirurgische Behandlung der bösartigen Melanome der Haut

Surgical treatment of malignant melanomas of the skin

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Summary

The authors report on the most important problems of surgical treatment in primary melanomas. Great importance should be attributed to surgery especially in I. stage melanomas, just because it might influence further development of the disease — they accentuate. This argument will justify the performance of an elective lymphonodal dissection if there are some risk factors (e.g. dephth of invasion, tumour thickness, exulceration, anatomic subsites, etc.) suggesting the possible presence of microscopic regional metastases. Within the frame of a clinical study a large number of literary data are also discussed.

Zusammenfassung

Die Autoren berichten über die wichtigsten Probleme der chirurgischen Primärversorgung von Melanomen. Sie betonen, daß einem sachgemäßen chirurgischen Eingriff gerade bei Melanomträgern im I. klinischen Stadium eine große Bedeutung beigemessen werden sollte, da es für den weiteren Krankheitsverlauf eine entscheidende Wirkung ausübe. In diesem Sinne halten sie es für ratsam, auch eine radikale regionale Lymphknoten-Dissektion durchzuführen, wenn bestimmte Risikofaktoren (solche wie Tiefwachstum, Tumordicke, Exulceration, anatomische Lokalisation, usw.) den Befall der regionalen Lymphknoten wahrscheinlich machen. Im Rahmen einer klinischen Studie werden zahlreiche Literaturangaben diskutiert.

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Literatur

  1. Altmeyer P, Nödl F, Merkel H (1980) Lymphogene Metastasierungsbereitschaft des malignen Melanoms. Dtsch Med Wochenschr 105:1769

    Google Scholar 

  2. Balch CM (1980) Surgical management of regional lymph nodes in cutaneous melanoma. J Am Acad Dermatol 3:511

    Google Scholar 

  3. Balch CM, Murad TM, Soong SJ, Ingalls AL, Richards PC, Maddox WA (1979) Tumour thickness as a guide to surgical management of clinical stage I. Melanoma patients. Cancer 43:883

    Google Scholar 

  4. Braun-Falco O (1981) Maligne melanome der Haut. Münch Med Wochenschr 123:1916

    Google Scholar 

  5. Cascinelli N, Balzarini GP, Fontana V, Morabito A, Orefice S (1976) Long term results of surgical treatment of melanoma of the limbs. Tumori 62:233

    Google Scholar 

  6. Clark WH, From Bernardino L, Mihm E, MC (1969) The histogenesis and biologic behaviour of primary human malignant melanomas of the skin.

  7. Cutler SJ, Ederer F (1958) Maximum utilization of the life table method in analyzing survival. J Cron Dis 12:699

    Google Scholar 

  8. Davis NC (1981) Queensland Melanom-Projekt. Ein Modell zur Früherkennung. In: Weidner F, Tonak J (Hrsg): Das maligne Melanom der Haut. Perimed, Erlangen, pp 51–56

    Google Scholar 

  9. Day CL, Mihm MC, Sober AJ, Harris MN, Lew RA (1982) Prognostic factors for melanoma patients with lesions 0.76–1.69 mm in thickness (An appraisal of “thin” level IV lesions). Ann Surg 195:30

    Google Scholar 

  10. Eckhardt S (1982) Modern daganatterápia (Moderne Therapie der Geschwülste). Medicina, Budapest, pp 102–103

    Google Scholar 

  11. Gábor Zs, Sugár J, Gulbert A, Venkei T (1974) Melanoma malignum pathologiai sajátságainak és prognózisának összefüggése (Zusammenhang der pathologischen Eigenschaften und der Prognose beim malignen Melanom). Magy Onkol 18:72

    Google Scholar 

  12. Goldsmith HS, Shah JP, Kim DP (1970) Prognostic significance of lymph node dissection in the treatment of malignant melanoma. Cancer 26:606

    Google Scholar 

  13. Greenwood M (1926) Reports on public health and medical subjects No. 133. Appendix. L. The “Errors of sampling” of the survivorship tables. London HM Stationary Office

    Google Scholar 

  14. Ketcham AS, Christopherson WO (1979) A staging system for malignant melanoma. (The American Joint Committee for Cancer Staging and End Results Reporting — based on the TNM classification-system of UICC, on base of 1700 cases). World J Surg 3:271

    Google Scholar 

  15. Karakousis CP, Stahl L, Moore R, Holyoke ED (1980) Lymph node dissection in malignant melanoma. J Surg Oncol 13:245

    Google Scholar 

  16. Karakousis CP, Rao U (1981) Axillary node dissection in malignant melanoma. Surg Gynecol Obstet 152:506

    Google Scholar 

  17. Karakousis CP, Seddig MK, Moore R (1980) Prognostic value of lymph node dissection in malignant melanoma. Arch Surg 115:719

    Google Scholar 

  18. Kirkwood JM, Tonkonow B, Nordlund J, Ariyan S, Forget B, Lerner A (1980) Melanoma: A multidisciplinary overview of current concepts and management. Connecticut Medicine 44:21

    Google Scholar 

  19. Konz B (1981) Operative Behandlung maligner Melanome. Münch Med Wochenschr 123:1918

    Google Scholar 

  20. Lacour J, Petit JY, Sancho H, Pacheco LA, Prade M (1978) Les évidements ganglionnaires dans les mélanoms malins cutanés. Chirurgie 104:955

    Google Scholar 

  21. Lieven H von, Lissner J (1981) Strahlentherapie metastasierender Melanome. Münch Med Wochenschr 123:1941

    Google Scholar 

  22. Lukács L, Bárdosi L, Péter S (1981) A melanoma malignum diagnosztikája és kezelése (Diagnostik u. Behandlung maligner Melanome). Orv Hetil 122:208

    Google Scholar 

  23. Lukács L, Péter S (1982) Early recognition of cutaneous malignant melanomas. Acta Chir Acad Sci Hung 23:183

    Google Scholar 

  24. Molnár L, Daubner K, Gaál A (1971) Melanoblastoma és blockdissectio (Melanoblastom und Blockdissektion). Magy Onkol 15:39

    Google Scholar 

  25. Roses DF, Harris MN, Gumport SL, Michelazzi F, Coffey JA, Dubin N (1981) Regional lymph node dissection for malignant melanoma of the extremities. Surgery 89:654

    Google Scholar 

  26. Tonak J, Hermanek P, Hornstein OP, Weidner F (1976) Therapie des malignen Melanoms der klinischen Stadien I und II. Dtsch Med Wochenschr 101:435

    Google Scholar 

  27. Tonak J, Weidner F (1980) Microstages in malignant melanoma — the basis for an elective lymph node dissection. J Cancer Res Clin Oncol 96:303

    Google Scholar 

  28. Tritsch H (1981) Die Kontinuitätsdissektion beim malignen Melanom der Haut. Hautarzt 32:84

    Google Scholar 

  29. Veronesi U, Cascinelli N (1979) Surgical treatment of malignant melanoma of the skin. World J Surg 3:279

    Google Scholar 

  30. WHO (1979) Collaborating centers for evaluation of methods of diagnosis and treatment of melanoma (Bufalino R, Cascinelli N, Morabito A, Preda F) Register: Analysis of 4739 cases.

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Authors and Affiliations

  1. I. Chirurgische Universitätsklinik der Medizinischen Universität Pécs, Ifjuság u. 13, H-7643, Pécs

    L. Lukács & S. Péter

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  1. L. Lukács
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  2. S. Péter
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Lukács, L., Péter, S. Chirurgische Behandlung der bösartigen Melanome der Haut. Langenbecks Arch Chiv 362, 33–41 (1984). https://doi.org/10.1007/BF01263318

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