For the majority of human solid cancer, regional draining lymph nodes (LNs) are the initial target of metastases and the LN status serves as the most important prognostic indicator for clinical outcome of patients. In patients with cutaneous melanoma who develop metastases, tumor most often first presents in the ipsilateral regional nodes and appears preferentially in the first LN on the direct lymphatic drainage pathway from a primary melanoma (1, 2).
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Zheng, R., Kjaergaard, J., Lee, W.T., Cohen, P.A., Shu, S. (2007). Significance of Regional Draining Lymph Nodes in the Development of Tumor Immunity: Implications for Cancer Immunotherapy. In: Leong, S.P.L. (eds) Cancer Metastasis And The Lymphovascular System: Basis For Rational Therapy. Cancer Treatment and Research, vol 135. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-69219-7_17
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