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Wide Local Excision Before Sentinel Lymph Node Biopsy in Melanoma
Michael Tassavor1, Madalyn Bland1, Olivia Goldenberg2
1The Skin Cancer Center, Cincinnati, Ohio.
Background:
Current guidelines suggest that wide local excision of thick melanomas be delayed until sentinel lymph node biopsies can be performed.
Objective:
To examine the literature and determine if there is a scientific basis for delaying wide local excision of thick melanomas.
Materials And Methods:
A narrative review of the literature was undertaken to examine all available studies on the subject.
Results:
There is no evidence that prior excision compromises sentinel lymph node identification. There are multiple unsubstantiated suggestions that large rotation flaps may lead to false negatives.
Conclusion:
There is no basis for delaying wide local excision of thick melanomas until a sentinel lymph node biopsy can be performed.
