Skip to main content

Advertisement

Log in

Significance of sentinel lymph node biopsy in malignant melanoma: overview of international data

  • Review Article
  • Published:
International Journal of Clinical Oncology Aims and scope Submit manuscript

Abstract

The notion of sentinel lymph node (SLN) mapping and its use during surgery for staging cancer was initially reported in 1992, in a study involving patients with malignant melanoma. To date SLN biopsy (SLNB) has emerged as a rational approach for staging regional lymph nodes in patients with clinically node-negative melanoma (stage I and II disease). The significance of SLNB as a staging and prognostic tool in melanoma is widely accepted. Reverse transcriptase-polymerase chain reaction (RT-PCR) analysis of the SLN remains very controversial. Whether SLNB improves survival in melanoma patients remains an open question.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Veronesi U, Adamus J, Bandiera DC, et al. (1977) Inefficacy of immediate node dissection in stage 1 melanoma of the limbs. N Engl J Med 297:627–630

    Article  CAS  PubMed  Google Scholar 

  2. Sim FH, Taylor WF, Ivins JC, et al. (1978) A prospective randomized study of the efficacy of routine elective lymphadenectomy in management of malignant melanoma. Preliminary results. Cancer 41:948–956

    CAS  Google Scholar 

  3. Balch CM, Soong S, Ross MI, et al. (2000) Long-term results of a multiinstitutional randomized trial comparing prognostic factors and surgical results for intermediate thickness melanomas (1.0–4.0 mm). Intergroup Melanoma Surgical Trial. Ann Surg Oncol 7: 87–97

    Article  CAS  PubMed  Google Scholar 

  4. Cascinelli N, Morabito A, Santinami M, et al. (1998) Immediate or delayed dissection of regional nodes in patients with melanoma of the trunk: a randomised trial. WHO Melanoma Programme. Lancet 351:793–796

    CAS  Google Scholar 

  5. Morton DL, Wen DR, Wong JH, et al. (1992) Technical details of intraoperative lymphatic mapping for early-stage melanoma. Arch Surg 127:392–399

    CAS  PubMed  Google Scholar 

  6. Wrightson WR, Wong SL, Edwards MJ, et al. (2003) Complications associated with sentinel lymph node biopsy for melanoma. Ann Surg Oncol 10:676–680

    Article  PubMed  Google Scholar 

  7. Morton DL, Hoon DSB, Cochran AJ, et al. (2003) Lymphatic mapping and sentinel lymphadenectomy for early stage melanoma: therapeutic utility and implications of nodal microanatomy and molecular staging for improving the accuracy of detection of nodal micrometastases. Ann Surg 238:538–549

    PubMed  Google Scholar 

  8. Fujiwara M, Mizukami T, Suzuki A, et al. (2009) Sentinel lymph node detection in skin cancer patients using real-time fluorescence navigation with indocyanine green: preliminary experience. J Plast Reconstr Aesthet Surg 62:373–378

    Article  Google Scholar 

  9. Balch CM, Buzaid AC, Atkins MB, et al. (2000) A new American Joint Committee on Cancer staging system for cutaneous melanoma. Cancer 88:1484–1491

    Article  CAS  PubMed  Google Scholar 

  10. Gershenwald JE, Thompson W, Mansfield PF, et al. (1999) Multiinstitutional melanoma lymphatic mapping experience: the prognostic value of sentinel lymph node status in 612 stage I or II melanoma patients. J Clin Oncol 17:976–983

    CAS  PubMed  Google Scholar 

  11. Statius Muller MG, van Leeuwen PA, de Lange-De Klerk ES, et al. (2001) The sentinel lymph node status is an important factor for predicting clinical outcome in patients with stage I or II cutaneous melanoma. Cancer 91:2401–2408

    Article  CAS  PubMed  Google Scholar 

  12. Eggermont AM, Keilholz U, Testori A, et al. (2001) The EORTC melanoma group translational research program on prognostic factors and ultrastaging in association with the adjuvant therapy trials in stage II and stage III melanoma. European Organization for Research and Treatment of Cancer. Ann Surg Oncol 8(9 Suppl):38S–40S

    CAS  PubMed  Google Scholar 

  13. Thompson JF (2001) The Sydney Melanoma Unit experience of sentinel lymphadenectomy for melanoma. Ann Surg Oncol 8(9 Suppl):44S–47S

    CAS  PubMed  Google Scholar 

  14. Morton DL, Thompson JF, Cochran AJ, et al. (2006) Sentinelnode biopsy or nodal observation in melanoma. N Engl J Med 355: 1307–1317

    Article  CAS  PubMed  Google Scholar 

  15. Debarbieux S, Duru G, Dalle S, et al. (2007) Sentinel lymph node biopsy in melanoma: a micromorphometric study relating to prognosis and completion lymph node dissection. Br J Dermatol 157: 58–67

    Article  CAS  PubMed  Google Scholar 

  16. Ghaferi AA, Wong SL, Johnson TM, et al. (2009) Prognostic significance of a positive nonsentinel lymph node in cutaneous melanoma. Ann Surg Oncol [Epub ahead of print]

  17. Ariyan C, Brady MS, Gönen M, et al. (2009) Positive nonsentinel node status predicts mortality in patients with cutaneous melanoma. Ann Surg Oncol 16:186–190

    Article  PubMed  Google Scholar 

  18. Wright BE, Scheri RP, Ye X, et al. (2008) Importance of sentinel lymph node biopsy in patients with thin melanoma. Arch Surg 143: 892–899

    Article  PubMed  Google Scholar 

  19. Shivers SC, Wang X, Li W, et al. (1998) Molecular staging of malignant melanoma: correlation with clinical outcome. JAMA 280:1410–1415

    Article  CAS  PubMed  Google Scholar 

  20. Takeuchi H, Morton DL, Kuo C, et al. (2004) Prognostic significance of molecular upstaging of paraffin-embedded sentinel lymph nodes in melanoma patients. J Clin Oncol 22:2671–2680

    Article  CAS  PubMed  Google Scholar 

  21. Scoggins CR, Ross MI, Reintgen DS, et al. (2006) Prospective multi-institutional study of reverse transcriptase polymerase chain reaction for molecular staging of melanoma. J Clin Oncol 24: 2849–2857

    Article  CAS  PubMed  Google Scholar 

  22. Hilari JM, Mangas C, Xi L, et al. (2009) Molecular staging of pathologically negative sentinel lymph nodes from melanoma patients using multimarker, quantitative real-time RT-PCR. Ann Surg Oncol 16:177–185

    Article  PubMed  Google Scholar 

  23. Amersi F, Morton DL (2007) The role of sentinel lymph node biopsy in the management of melanoma. Adv Surg 41:241–256

    Article  PubMed  Google Scholar 

  24. Thomas JM (2008) Prognostic false-positivity of the sentinel node in melanoma. Nat Clin Pract Oncol 5:18–23

    Article  PubMed  Google Scholar 

  25. Rosenberg SA (2008) Why perform sentinel-lymph-node biopsy in patients with melanoma? Nat Clin Pract Oncol 5:1

    Article  PubMed  Google Scholar 

  26. Starz H, Siedlecki K, Balda BR, (2004) Sentinel lymphonodectomy and s-classification: a successful strategy for better prediction and improvement of outcome of melanoma. Ann Surg Oncol (3 Suppl): 162S–168S

  27. Carlson GW, Murray DR, Lyles RH, et al. (2003) The amount of metastatic melanoma in a sentinel lymph node: does it have prognostic significance? Ann Surg Oncol 10:575–581

    Article  PubMed  Google Scholar 

  28. Dewar DJ, Newell B, Green MA, et al. (2004) The microanatomic location of metastatic melanoma in sentinel lymph nodes predicts nonsentinel lymph node involvement. J Clin Oncol 22:3345–3349

    Article  CAS  PubMed  Google Scholar 

  29. Govindarajan A, Ghazarian DM, McCready DR, et al. (2007) Histological features of melanoma sentinel lymph node metastases associated with status of the completion lymphadenectomy and rate of subsequent relapse. Ann Surg Oncol 14:906–912

    Article  PubMed  Google Scholar 

  30. van Akkooi AC, Nowecki ZI, Voit C, et al. (2008) Sentinel node tumor burden according to the Rotterdam criteria is the most important prognostic factor for survival in melanoma patients: a multicenter study in 388 patients with positive sentinel nodes. Ann Surg 248:949–955

    Article  PubMed  Google Scholar 

  31. van der Ploeg IM, Kroon BB, Antonini N, et al. (2009) Comparison of three micromorphometric pathology classifications of melanoma metastases in the sentinel node. Ann Surg 250:301–304

    Article  PubMed  Google Scholar 

  32. Morton DL, Cochran AJ, Thompson JF (2007) Authors’ response to a letter to the editor re: sentinel node biopsy for early-stage melanoma. Ann Surg 245:828–829

    Article  PubMed  Google Scholar 

  33. Spanknebel K, Coit DG, Bieligk SC, et al. (2005) Characterization of micrometastatic disease in melanoma sentinel lymph nodes by enhanced pathology: recommendations for standardizing pathologic analysis. Am J Surg Pathol 29:305–317

    Article  PubMed  Google Scholar 

  34. Chakera AH, Hesse B, Burak Z, et al. (2009) EANM-EORTC general recommendations for sentinel node diagnostics in melanoma. Eur J Nucl Med Mol Imaging 36:1713–1742

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Yoichi Moroi.

About this article

Cite this article

Moroi, Y. Significance of sentinel lymph node biopsy in malignant melanoma: overview of international data. Int J Clin Oncol 14, 485–489 (2009). https://doi.org/10.1007/s10147-009-0942-z

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10147-009-0942-z

Key words

Navigation