Sentinel lymph node assessment in melanoma: current state and future directions

Tiffany W. Cheng, Emily Hartsough, Alessio Giubellino

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

Abstract

Assessment of sentinel lymph node status is an important step in the evaluation of patients with melanoma for both prognosis and therapeutic management. Pathologists have an important role in this evaluation. The methodologies have varied over time, from the evaluation of dimensions of metastatic burden to determination of the location of the tumour deposits within the lymph node to precise cell counting. However, no single method of sentinel lymph node tumour burden measurement can currently be used as a sole independent predictor of prognosis. The management approach to sentinel lymph node-positive patients has also evolved over time, with a more conservative approach recently recognised for selected cases. This review gives an overview of past and current status in the field with a glimpse into future directions based on prior experiences and clinical trials.

Original languageEnglish (US)
Pages (from-to)669-684
Number of pages16
JournalHistopathology
Volume83
Issue number5
DOIs
StatePublished - Nov 2023

Bibliographical note

Publisher Copyright:
© 2023 The Authors. Histopathology published by John Wiley & Sons Ltd.

Keywords

  • automation
  • complete lymph node dissection
  • melanoma
  • sentinel lymph node

PubMed: MeSH publication types

  • Journal Article
  • Review

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