Sentinel Lymph Node Biopsy for Thin Melanoma - Winship Cancer ...

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SLNB for thin melanoma NCCN guidelines for SLNB Thickness (mm) Mitotic rate Ulceration Adverse factors* 1.0-4.0 Offer Offer Offer Offer Offer Offer > 4.0 Offer Offer Offer Offer Offer Offer * Adverse features include + margin, LVI, Clark IV
SLNB for thin melanoma Cost of SLNB in thin melanoma • 120 patients with thin melanoma undergo SLNB • Six patients (5%) will have a positive SLN – All will be offered CLND; none will have a + NSLN – All will be considered for adjuvant therapy – All will be considered for baseline/follow-up imaging – All will be followed closely for recurrence • Of the six patients with a positive SLN – One (15%) will die and five (85%) will survive
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Page 3 and 4: SLNB for thin melanoma Thin melanom
Page 5 and 6: SLNB in thin melanoma Nodal relapse
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Page 19 and 20: SLNB for thin melanoma Cost of SLNB
Page 21 and 22: SLNB for thin melanoma Summary •
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Page 25 and 26: SLNB for thin melanoma Question 2
Page 27: SLNB for thin melanoma Question 4

Sentinel Lymph Node Biopsy for Thin Melanoma - Winship Cancer ...

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