Search Results for: elective node dissection

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Therapeutic Strategies in Dermatology

Melanoma: Treatment

…or MRI of the brain, chest, abdomen or pelvis, or PET CT). Ancillary therapy The decision to pursue regional sentinel lymph node dissection is controversial, and consultation and/or referral to a dermatologist with expertise in cutaneous oncology…

Therapeutic Strategies in Dermatology

Melanoma: Key Points

…associated with significant morbidity 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…

Therapeutic Strategies in Dermatology

Cutaneous T-Cell Lymphoma/ Mycosis Fungoides: Overview

…th or without palpable lymph nodes in the absence of pathologic involvement Stage IVA-any skin lesions with histologic lymph node involvement Stage IVB-any skin lesions with histologic lymph node involvement and visceral disease Treatment Early…

Therapeutic Strategies in Dermatology

Melanoma: Clinical Cases

…ess Follow-up The patient undergoes wide local 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…

Therapeutic Strategies in Dermatology

Melanoma: References

…rategies in cutaneous melanoma: Facts and controversies, Clinics 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…

Therapeutic Strategies in Dermatology

Keloids and Hypertrophic Scars: Treatment

…ypes of therapy. Note: Sites of keloids that occur after piercing 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…

Therapeutic Strategies in Dermatology

Extramammary Paget’s/Paget’s Disease: Overview

…The data on extramammary Paget’s are less clear, but between 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…

Therapeutic Strategies in Dermatology

Kaposi’s Sarcoma: Overview

…50% of patients. For localized lymphatic and mucosal disease, radiation therapy in fractionated doses may help control lymph node disease and the associated lymphedema. Patients with mucosal disease may require significant fractionation, as…

Therapeutic Strategies in Dermatology

Urticaria Pigmentosa / Mastocytosis: Key Points

…amounts of bone marrow involvement. Patients may have hepatic 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…

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,…

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