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本文研究的目的在于阐明皮肤黑色素瘤的区域淋巴引流处的受侵情况,中厚层皮肤黑色素瘤的淋巴转移是否高于远处转移,限期性淋巴结清扫(ELND)的确切效果如何?作者从Duke大学癌肿中心的8000例黑色素瘤资料中,选出了记录完整、组织学诊断明确和尚无远处转移的4682例皮肤黑色素瘤进行分析,观察ELND的作用.随访中位期4.7年,其中814例超过10年以上,资料均用微机处理.分析结果1,一般统计:平均年龄47.7岁;男女之比为1.14;分布部位计躯干43%、四肢37%、头面17%和肢端3%,皮肤受侵厚度为<0.76mm16%、0.
The purpose of this study was to elucidate the extent of lymphatic drainage in the melanoma of the skin. Is the lymph node metastasis higher than distant metastasis in mesothelioma of the medullary layer? What is the exact effect of limited period lymph node dissection (ELND)? In the 8000 cases of melanoma at the University Cancer Center, 4682 cases of cutaneous melanoma with complete records, definite histological diagnosis, and no distant metastasis were selected to analyze the effects of ELND. The median follow-up period was 4.7 years, of which 814 For cases over 10 years old, the data were processed by computer. Analysis results 1. General statistics: The average age was 47.7 years; the male to female ratio was 1.14; the distribution area included 43% of the trunk, 37% of the extremities, 17% of the head and 3% of the extremities. Skin invasion thickness is <0.76mm16%, 0.