CA: A Cancer Journal for Clinicians, Vol 22, 216-220, Copyright
© 1972 by American Cancer Society
Malignant Melanoma: Current Concepts of Lymph Node Dissection
Harry S. Goldsmith M.D.1,
Jatin P. Shah M.D.2, and
Dong-H. Kim M.D.3
1 Samuel D. Gross Professor of Surgery and Chairman, Department of Surgery, Jefferson Medical College, Philadelphia, Pennsylvania.
2 Senior Resident in Surgery, Memorial Hospital for Cancer and Allied Diseases, New York, New York.
3 Instructor in Surgery, Department of Surgery, Jefferson Medical College, Philadelphia, Pennsylvania.
The results of this study indicate that the survival statistics from melanoma continue to improve over the years; that wide excision of the primary lesion and a routine lymph node dissection have positive factors which justify an elective lymph node dissection; that a discontinuous lymph node dissection is equally satisfactory and gives comparable five-year survival statistics if a melanoma is in an anatomical position which does not lend itself readily to incontinuity dissection.