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Radical, modified, and selective neck dissection for cutaneous malignant melanoma
C J O'Brien1, K Petersen-Schaefer, D Ruark
1Sydney Melanoma Unit, Royal Prince Alfred Hospital, Sydney, Australia.
Head & Neck
|May 1, 1995
Summary
Modified radical neck dissection effectively controls metastatic melanoma. Adjuvant radiotherapy may reduce recurrence risk, while selective dissections require further investigation for melanoma treatment.
Area of Science:
- Surgical Oncology
- Melanoma Treatment
- Head and Neck Cancer
Background:
- Unclear roles of modified/selective neck dissections for metastatic melanoma.
- Efficacy of various selective dissections in elective settings needs clarification.
Purpose of the Study:
- Evaluate modified and selective neck dissections for metastatic melanoma.
- Assess the role of adjuvant radiotherapy in neck dissection for melanoma.
Main Methods:
- Analysis of 175 patients undergoing 183 neck dissections over 6 years.
- 58% of therapeutic neck dissections were modified or selective.
- Follow-up for at least 12 months, with 86% followed for 2 years or until recurrence.
Main Results:
- Modified neck dissections showed 0% recurrence; radical had 14%, selective 23%.
- Neck recurrence occurred in 5% of elective dissections.
- 5-year survival rate was 50%, worsened by increased node involvement.
Conclusions:
- Modified radical neck dissection is effective for selected melanoma patients.
- Selective dissections are less effective and need further study.
- Adjuvant radiotherapy may decrease neck recurrence risk.