Axillary and Epitrochlear Lymph Node Dissection for Melanoma

Sandra L. Wong; Douglas S. Tyler; Charles M. Balch; John F. Thompson; Kelly M. McMasters

doi:10.1007/978-3-030-05070-2_21

Axillary and Epitrochlear Lymph Node Dissection for Melanoma

Sandra L. Wong, Douglas S. Tyler, Charles M. Balch, John F. Thompson, Kelly M. McMasters

Research output: Chapter in Book/Report/Conference proceeding › Chapter

Abstract

Indications for regional lymph node dissection in melanoma have evolved over time. Once the decision to proceed with axillary lymph node dissection (ALND) has been made, the goal of the procedure in patients with melanoma is complete resection of all lymph nodes (levels I, II, and III) in the axillary basin, respecting the anatomic relations of the axillary vein, thoracodorsal neurovascular bundle, and long thoracic nerve. Performed properly, ALND offers excellent locoregional disease control with acceptably low morbidity rates. While metastasis to epitrochlear nodes is a rare event, epitrochlear lymph node dissection may similarly be an important component of treatment for melanoma patients.

Original language	English (US)
Title of host publication	Cutaneous Melanoma, Sixth Edition
Publisher	Springer International Publishing
Pages	657-667
Number of pages	11
Volume	1
ISBN (Electronic)	9783030050702
ISBN (Print)	9783030050689
DOIs	https://doi.org/10.1007/978-3-030-05070-2_21
State	Published - Jan 1 2020
Externally published	Yes

ASJC Scopus subject areas

General Medicine

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10.1007/978-3-030-05070-2_21

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abstract = "Indications for regional lymph node dissection in melanoma have evolved over time. Once the decision to proceed with axillary lymph node dissection (ALND) has been made, the goal of the procedure in patients with melanoma is complete resection of all lymph nodes (levels I, II, and III) in the axillary basin, respecting the anatomic relations of the axillary vein, thoracodorsal neurovascular bundle, and long thoracic nerve. Performed properly, ALND offers excellent locoregional disease control with acceptably low morbidity rates. While metastasis to epitrochlear nodes is a rare event, epitrochlear lymph node dissection may similarly be an important component of treatment for melanoma patients.",

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AB - Indications for regional lymph node dissection in melanoma have evolved over time. Once the decision to proceed with axillary lymph node dissection (ALND) has been made, the goal of the procedure in patients with melanoma is complete resection of all lymph nodes (levels I, II, and III) in the axillary basin, respecting the anatomic relations of the axillary vein, thoracodorsal neurovascular bundle, and long thoracic nerve. Performed properly, ALND offers excellent locoregional disease control with acceptably low morbidity rates. While metastasis to epitrochlear nodes is a rare event, epitrochlear lymph node dissection may similarly be an important component of treatment for melanoma patients.

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Axillary and Epitrochlear Lymph Node Dissection for Melanoma

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