Search Results for: elective node dissection

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Therapeutic Strategies in Dermatology

Melanoma: Treatment

…for more extensive baseline evaluation such as sentinel lymph node biopsy and/or searching for metastases (CT or MRI of the brain, chest, abdomen or pelvis, or PET CT). Ancillary therapy The decision to pursue regional sentinel lymph node dissection

Therapeutic Strategies in Dermatology

Melanoma: Key Points

…and mortality. Evidence clarifying which patients should have elective regional lymph node dissection remains somewhat controversial. In questionable cases, referral to regional centers or consultation with regional experts is recommended. New therap…

Therapeutic Strategies in Dermatology

Cutaneous T-Cell Lymphoma/ Mycosis Fungoides: Overview

…laques < o r> 10% body surface area with palpable lymph nodes without pathologic involvement Stage IIB-tumors with or without palpable lymph nodes in the absence of pathologic involvement Stage III-erythroderma with or without palpable lymph no…

Therapeutic Strategies in Dermatology

Melanoma: Clinical Cases

…excision with 2 cm margins and elects to have sentinel lymph node mapping and dissection, which reveals 2 of 8 lymph nodes affected Brain, chest, abdominal, and pelvic CT scans reveal evidence of metastatic disease in the lung and liver. Blood work…

Therapeutic Strategies in Dermatology

Melanoma: References

…s in Dermatology, 28:311-315. Morton DL et al (2006) Sentinel-node biopsy or nodal observation in melanoma, NEJM, 355:1307-1317. National Cancer Institute. Melanoma Treatment (PDQ). 7 Nov 2014. Web. http: www.cancer.gov/cancertopics/pdq/treatment/mel…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Treatment

…ng should not be re-pierced after excision of a prior keloid. Elective surgery should be avoided in individuals with a history of keloid formation, especially in sites where keloids are likely to occur, such as the ears, chest, shoulders, and upper b…

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

…adiation therapy in fractionated doses may help control lymph node disease and the associated lymphedema. Patients with mucosal disease may require significant fractionation, as mucositis is a common complication of oropharyngeal radiation therapy fo…

Therapeutic Strategies in Dermatology

Extramammary Paget’s/Paget’s Disease: Overview

…een 25% and 50% have an associated carcinoma. A careful lymph node evaluation is essential. Immunoperoxidase markers on paraffin fixed tissue can be used to identify the source of the primary carcinoma, or confirm that the lesion arose in the skin lo…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Key Points

…or splenic involvement with mast cell infiltration, and lymph node enlargement may occur. Adults also may develop skeletal lesions due to mastocytosis with opacities or lucencies seen on radiographic imaging; patients may also develop osteosclerosis…

A Clinical Atlas of 101 Common Skin Diseases

Melanoma

A malignant neoplasm of melanocytes that, in the skin, begins as a macule and may become a patch or a papule. A flat lesion of melanoma tends to be asymmetrical, poorly circumscribed with a scalloped, jagged, or notched border, and variegate, mostly…

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