Dysplastic nevus surgery: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Dysplastic nevus}} | |||
{{CMG}} {{AE}}{{Faizan}} | {{CMG}} {{AE}}{{Faizan}} | ||
==Overview== | ==Overview== | ||
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Surgery is the mainstay of treatment for dysplastic nevus. | Surgery is the mainstay of treatment for dysplastic nevus. | ||
==Surgery== | ==Surgery== | ||
Surgery is the mainstay of treatment for dysplastic nevus. | 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 | |||
==References== | ==References== | ||
Latest revision as of 05:40, 4 June 2019
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Dysplastic nevus Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Dysplastic nevus surgery On the Web |
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American Roentgen Ray Society Images of Dysplastic nevus surgery |
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Risk calculators and risk factors for Dysplastic nevus surgery |
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 |
.jpg)
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