Summary Card
Level of Evidence: 1
Background
What is the actual effect of lymph node clearance in melanoma patients with a positive sentinel node?
Methods
Randomised control trial over a 10-year period in which patients were observed (clinical examination and USS) or lymph node clearance.
Results
Lymph node clearance did not increase melanoma-specific survival and increased surgical complications.
Conclusion
Clinical observation with frequent physical exams and ultrasonography is reasonable for certain patients with a positive SLNB
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