Clinically Evident Nodal Metastatic Melanoma

Rodrigo Arrangoiz MS, MD, FACS, FSSO
  • The Multicenter Selective Lymphadenectomy Trial 2 (MSLT-2) was published in June 2017:
    • Which evaluated completion lymphadenectomy versus active surveillance (with dissection if disease were identified):
      • Following positive sentinel lymph node biopsies for metastatic melanoma
    • It is important to remember this was for clinically-occult nodal disease only
  • The standard of care for clinically-evident (palpable or radiographic) nodal metastatic melanoma is:
    • Lymphadenectomy
  • References:
    • van Akkooi CJA. Surgical and Anatomic Considerations of Malignancies Affecting the Groin: Consideration for Melanoma. In: Delman K, Master V, eds. Malignancies of the Groin. Cham, Switzerland: Springer, 2018:63-74.
    • Song Y, Karakousis GC. Melanoma of Unknown Primary. J Surg Oncol. 2019; 119 (2) 232-241.
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Published by Rodrigo Arrangoiz MS, MD, FACS, FSSO

My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida. I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016. Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida. Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.

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