Page 38 - PowerPoint Presentation
P. 38

Management of lymph



        nodes in melanoma





















             cN+


                   Therapeutic lymph node dissection


                   Below inguinal ligaments


                       Superficial inguinal node dissection

                   Subinguinal              node          >1      or      matted,

                     metastasis            in     Cloquet’s             node         or

                     imaging suggestive of pelvic nodal
                     disease


                       Deep/Extended                        dissection              to

                          include iliac and obturator nodes


                   Axillary dissection level I-III





             cN0


                   sentinel lymph node biopsy
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