Positive deep nodes in the groin and survival in malignant melanoma

A review of 48 consecutive patients with positive deep nodes in the groin and positive inguinal nodes from malignant melanoma was carried out. The deep nodes were enlarged (>2 cm) in 60% of the patients. The estimated 5-year survival rate following dissection of the deep nodes was 34%, 31% for th...

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Bibliographic Details
Published in:The American journal of surgery 1996-04, Vol.171 (4), p.421-422
Main Authors: Karakousis, Constantine P., Driscoll, Deborah L.
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Disease-Free Survival
Dissection
Female
Groin
Hematologic and hematopoietic diseases
Humans
Lymph Node Excision
Lymphatic Metastasis
Male
Medical sciences
Melanoma
Melanoma - mortality
Melanoma - surgery
Middle Aged
Nodes
Other diseases. Hematologic involvement in other diseases
Retrospective Studies
Survival
Time Factors
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Description
Summary:A review of 48 consecutive patients with positive deep nodes in the groin and positive inguinal nodes from malignant melanoma was carried out. The deep nodes were enlarged (>2 cm) in 60% of the patients. The estimated 5-year survival rate following dissection of the deep nodes was 34%, 31% for those with palpable nodes (n = 40) and 50% for those with non-palpable (n = 8) inguinal nodes ( P = 0.13). The overall 10-year survival rate was 25%. Involvement of the deep (iliac or obturator) nodes in malignant melanoma does not indicate systemic dissemination for all patients, as an appreciable percentage attains long-term survival after a thorough dissection of these nodes.
ISSN:0002-9610
1879-1883
DOI:10.1016/S0002-9610(97)89622-5