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KMID : 1188520110070020114
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Korean Journal of Clinical Oncology
2011 Volume.7 No. 2 p.114 ~ p.121
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Inguinal lymph node dissection in patients with skin cancer
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Jung Pyung-An
Jung Seung-Pil
Lee Jeong-Hee
Kim Ji-Young
Choi Min-Young
Lee Se-Kyung
Choe Jun-Ho
Lee Jeong-Eon
Kim Jee-Soo
Nam Seok-Jin
Kim Jeong-Han
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Abstract
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Purpose: To evaluate the results and experience of inguinal lymph node dissection in patients with skin cancer.
Methods: 43 patients were underwent inguinal lymph node dissection for skin cancer spread to the lymph nodes in SMC between Mar 2002 and Jul 2010. We investigated postoperative complications, recurrence rate, survival rate from their medical records, retrospectively.
Results: Among 43 patients, 35 cases were diagnosed as malignant melanoma and 8 were diagnosed as squamous cell carcinoma. 12.6 lymph nodes were retrieved, and 2.46 lymph nodes were metastasized on average. Complications such as lymphedema in lower extremities, skin necrosis, seroma were occurred in 35 patients (81.4%). But most were recovered with conservative management. During 24.5(3-83) months of follow up periods, 20 patients (46.5%) had recurrences of skin cancer and 8(18.6%) of them were expired.
Conclusions: Generally, skin cancer spread to lymph nodes shows poor prognosis and inguinal lymph nodes dissection is a procedure resulting in high rate of complications. However, if this is performed properly by experienced surgeons, the recurrence and serious complications could be reduced.
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KEYWORD
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Skin cancer, malignant melanoma, Squamous cell carcinoma, Inguinal lymph node dissection
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