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dc.contributor.authorEmir T. Pasaribuen_US
dc.date.accessioned2010-03-22T08:40:27Z
dc.date.available2010-03-22T08:40:27Z
dc.date.issued2009-07-13T00:00:00Zen_US
dc.identifier.otherJohanes Hutabarat, S.Sosen_US
dc.identifier.urihttp://repository.usu.ac.id/handle/123456789/15642
dc.descriptionmkn-des2006- (10)en_US
dc.description.abstractCutaneous melanoma is the malignancy derived from the melanocyte, the cell responsible for pigmentation in humans. It is now the fifth most common cancer in men and the seventh most common in women. When melanoma is apparently localized to the primary site, the aim of surgery is to remove not only the primary but also sufficient surrounding tissue to eliminate clinically in apparent malignant cell present in cutaneous lymphatics adjacent to the lesion and capable for local growth and regional or distant spread. In the natural course of melanoma, 3 different metastatic pathways have been well identified; these include local extension, regional extension and distant extension. Approximately 15 % of patients with primary melanomas and no palpable lymphadenopathy (clinical stage I or II), will be found to have melanoma involving one or more sentinel lymph nodes (pathological stage III) when the nodes are examined after staining. An analysis more than 1400 patients with surgically excised metastases of regional lymph nodes showed a significantly lower survival rate among patients whit palpable nodal metastases than among those with equal numbers of non palpable nodal metastase. These findings suggest that removal of involved but nonpalpable lymph node could increase survival and node merely change the pattern of recurrenceen_US
dc.language.isoiden_US
dc.subjectmelanomaen_US
dc.subjectlymph node dissectionen_US
dc.subjectsentinel lymph nodeen_US
dc.titleKontroversi Profilaksis Elektif Node Diseksi Dalam Penanganan Melanoma Malignaen_US
dc.typeUSU e-Journalsen_US


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