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The role of sentinel lymph node biopsy after excision of melanomas

To the Editor: I enjoyed the dermatology update in the May 2015 issue.1 I would like to inquire about the clinical management of the patient in case 3, a 58-year­old man with biopsy-proven malignant melanoma surrounded by intense inflammatory infiltrate. The tumor was excised with standard margins, but distal metastases developed 2 years later. The depth of invasion of the primary tumor was not revealed, but could this patient have benefited from sentinel lymph node biopsy immediately after the initial excision?

References
  1. Fernandez A. Dermatology update: the dawn of targeted treatment. Cleve Clin J Med 2015; 82:309–­320.
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David L. Keller, MD
Providence Medical Group, Torrance, CA

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Cleveland Clinic Journal of Medicine - 82(8)
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melanoma, sentinel lymph node biopsy, David Keller
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David L. Keller, MD
Providence Medical Group, Torrance, CA

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David L. Keller, MD
Providence Medical Group, Torrance, CA

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To the Editor: I enjoyed the dermatology update in the May 2015 issue.1 I would like to inquire about the clinical management of the patient in case 3, a 58-year­old man with biopsy-proven malignant melanoma surrounded by intense inflammatory infiltrate. The tumor was excised with standard margins, but distal metastases developed 2 years later. The depth of invasion of the primary tumor was not revealed, but could this patient have benefited from sentinel lymph node biopsy immediately after the initial excision?

To the Editor: I enjoyed the dermatology update in the May 2015 issue.1 I would like to inquire about the clinical management of the patient in case 3, a 58-year­old man with biopsy-proven malignant melanoma surrounded by intense inflammatory infiltrate. The tumor was excised with standard margins, but distal metastases developed 2 years later. The depth of invasion of the primary tumor was not revealed, but could this patient have benefited from sentinel lymph node biopsy immediately after the initial excision?

References
  1. Fernandez A. Dermatology update: the dawn of targeted treatment. Cleve Clin J Med 2015; 82:309–­320.
References
  1. Fernandez A. Dermatology update: the dawn of targeted treatment. Cleve Clin J Med 2015; 82:309–­320.
Issue
Cleveland Clinic Journal of Medicine - 82(8)
Issue
Cleveland Clinic Journal of Medicine - 82(8)
Page Number
479-480
Page Number
479-480
Publications
Publications
Topics
Article Type
Display Headline
The role of sentinel lymph node biopsy after excision of melanomas
Display Headline
The role of sentinel lymph node biopsy after excision of melanomas
Legacy Keywords
melanoma, sentinel lymph node biopsy, David Keller
Legacy Keywords
melanoma, sentinel lymph node biopsy, David Keller
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