Dysplastic nevus surgery: Difference between revisions

	Dysplastic nevus Microchapters
Home
Patient Information
Overview
Classification
Pathophysiology
Causes
Differentiating Dysplastic nevus from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Dysplastic nevus surgery On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Images
American Roentgen Ray Society Images of Dysplastic nevus surgery All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Dysplastic nevus surgery
CDC on Dysplastic nevus surgery
Dysplastic nevus surgery in the news
Blogs on Dysplastic nevus surgery
Directions to Hospitals Treating Dysplastic nevus
Risk calculators and risk factors for Dysplastic nevus surgery

VisualWikitext

Latest revision as of 05:40, 4 June 2019

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]

Overview

Surgery is the mainstay of treatment for dysplastic nevus.

Surgery

Surgery is the mainstay of treatment for dysplastic nevus.

Surgical Margins for Wide Excision of Primary Melanoma

The National Comprehensive Cancer Network (NCCN) recommends wide excision of margins of primary melanoma.
The choice of clinical margins is based on the tumor thickness.^[1]
The margins may be individualized to accomodate anatomic and functional considerations.^[1]

Tumor thickness	Recommended Clinical Margins
In situ	0.5 cm
≤ 1 mm	1 cm
> 1 mm - 2 mm	1-2 cm
> 2 mm - 4 mm	2 cm
> 4 mm	2 cm

A blue stained sentinel axillary lymph node

Complete Lymph Node Dissection

The 2013 National Comprehensive Cancer Network (NCCN) recommends complete dissection of involved nodal basin is recommended.^[1]

Specific considerations for the groin lymph nodes

Indications for iliac and obturator lymph node dissection:

Positive pelvic CT, or
Cloquet's node is positive

Elective iliac and obturator lymph node dissection

Clinically positive superficial node, or
≥ 3 superficial nodes are positive

References

↑ ^1.0 ^1.1 ^1.2 Coit DG, Andtbacka R, Anker CJ, Bichakjian CK, Carson WE, Daud A; et al. (2013). "Melanoma, version 2.2013: featured updates to the NCCN guidelines". J Natl Compr Canc Netw. 11 (4): 395–407. PMID 23584343.

Template:WH Template:WS

[pmid23584343-1] 1.0 ^1.1 ^1.2 Coit DG, Andtbacka R, Anker CJ, Bichakjian CK, Carson WE, Daud A; et al. (2013). "Melanoma, version 2.2013: featured updates to the NCCN guidelines". J Natl Compr Canc Netw. 11 (4): 395–407. PMID 23584343.

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
+{{Dysplastic nevus}}
 {{CMG}} {{AE}}{{Faizan}}
 ==Overview==
@@ Line 5: / Line 6: @@
 Surgery is the mainstay of treatment for dysplastic nevus.
 ==Surgery==
+Surgery is the mainstay of treatment for dysplastic nevus.
+===Surgical Margins for Wide Excision of Primary Melanoma===
+*The National Comprehensive Cancer Network (NCCN) recommends wide excision of margins of primary melanoma.
+*The choice of clinical margins is based on the tumor thickness.<ref name="pmid23584343">{{cite journal| author=Coit DG, Andtbacka R, Anker CJ, Bichakjian CK, Carson WE, Daud A et al.| title=Melanoma, version 2.2013: featured updates to the NCCN guidelines. | journal=J Natl Compr Canc Netw | year= 2013 | volume= 11 | issue= 4 | pages= 395-407 | pmid=23584343 | doi= | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23584343  }}</ref>
+*The margins may be individualized to accomodate anatomic and functional considerations.<ref name="pmid23584343" />
+{| {{table}} cellpadding="4" cellspacing="0" style="border:#c9c9c9 1px solid; margin: 1em 1em 1em 0; border-collapse: collapse;"
+| align="center" style="background: #4479BA;" |{{fontcolor|#FFF|'''Tumor thickness'''}}
+| align="center" style="background: #4479BA;" |{{fontcolor|#FFF|'''Recommended Clinical Margins'''}}
+|-
+|In situ||0.5 cm
+|-
+|≤ 1 mm||1 cm
+|-
+|> 1 mm - 2 mm||1-2 cm
+|-
+|> 2 mm - 4 mm||2 cm
+|-
+|> 4 mm||2 cm
+|}
+[[Image:Sentinel lymph node (axilla).jpg|center|thumb|370px|A blue stained sentinel axillary lymph node|link=https://www.wikidoc.org/index.php/File:Sentinel_lymph_node_(axilla).jpg]]
+===Complete Lymph Node Dissection===
+The 2013 National Comprehensive Cancer Network (NCCN) recommends complete dissection of involved nodal basin is recommended.<ref name="pmid23584343" />
+*Specific considerations for the groin lymph nodes
+:*Indications for iliac and obturator lymph node dissection:
+::*Positive pelvic CT, or
+::*Cloquet's node is positive
+:*Elective iliac and obturator lymph node dissection
+::*Clinically positive superficial node, or
+::*≥ 3 superficial nodes are positive
-Moh's micrographic surgery is preferred over wide excision.
-{{Dysplastic nevus}}
 ==References==
 {{reflist|2}}
@@ Line 17: / Line 47: @@
 [[Category:Dermatology]]
 [[Category:Types of cancer]]
+ [[Category:Up-To-Date]]
+[[Category:Oncology]]
+[[Category:Medicine]]
+[[Category:Dermatology]]
+[[Category:Surgery]]