RESUMEN
Results of treatment of 90 patients with primary melanoma of the skin, trunk and extremities with stages T2-T4N0M0 were analyzed. Different strategies were used in relation to regional lymph nodes. It was found that prophylactic lymphadenectomy in terms of more than 4 weeks after excision of primary cutaneous melanoma reliably prolongs total and recurrence-free survival as compared with the method without fulfilling prophylactic lymphadenectomy. Prophylactic lymphadenectomy fulfilled in terms less than 4 weeks fails to have statistically significant influence on the results of treatment.
Asunto(s)
Extremidades , Escisión del Ganglio Linfático/métodos , Melanoma/cirugía , Neoplasias Cutáneas/cirugía , Adolescente , Adulto , Anciano , Estudios de Seguimiento , Humanos , Ganglios Linfáticos/patología , Ganglios Linfáticos/cirugía , Metástasis Linfática/prevención & control , Melanoma/mortalidad , Melanoma/secundario , Persona de Mediana Edad , Estudios Retrospectivos , Biopsia del Ganglio Linfático Centinela , Neoplasias Cutáneas/mortalidad , Neoplasias Cutáneas/patología , Adulto JovenRESUMEN
The authors present an analysis of results of using D2 operations in combined treatment of gastric cancer. Such volumes of operations combined with preoperative irradiation are not followed by greater number of complications and lethality. The incidence of progressing in terms more than a year proved to be considerably lower in the group of patients with combined treatment with D2 lymphodissection than in the groups without lymphodissection and preoperative radiation therapy.
