Outcome of neck dissection for node-positive melanoma.

J Otolaryngol

Department of Otolaryngology-Head and Neck Surgery, Sunnybrook and Women's Health Sciences Center, Toronto, Ontario.

Published: June 2002

AI Article Synopsis

  • The study aimed to assess the rates of regional recurrence in patients with node-positive melanoma who underwent neck dissection only.
  • Data collected from 31 patients between 1990 and 1997 showed a 31% regional recurrence rate at 5 years, with an average recurrence time of 78 months.
  • The conclusion suggests that while neck dissection alone may be suitable for certain patients, those with advanced neck disease could benefit more from additional treatment like adjuvant radiotherapy.

Article Abstract

Objective: To determine the rates of regional recurrence for node-positive melanoma after neck dissection alone.

Design: Retrospective review from a single tertiary care institution.

Methods: Data were obtained for all patients receiving neck dissection from 1990 to 1997 at Sunnybrook and Women's Health Sciences Center. Analysis was performed using the Kaplan-Meier method.

Results: Thirty-one patients underwent neck dissection for node-positive melanoma in the study period. The rate of regional recurrence was 31% at 5 years. The mean time to recurrence was 78 months.

Conclusion: Neck dissection alone may be appropriate for some patients, but those with more advanced neck disease are likely to benefit from adjuvant radiotherapy.

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Source
http://dx.doi.org/10.2310/7070.2002.10807DOI Listing

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