{"doi":"10.1002/jso.27100","title":"Regional control after precision lymph node dissection for clinically evident melanoma metastasis","abstract":"INTRODUCTION: Completion lymph node dissection (CLND) for microscopic lymph node metastases has been replaced by observation; however, CLND is standard for clinically detectable nodal metastases (cLN). CLND has high morbidity, which may be reduced by excision of only the cLN (precision lymph node dissection [PLND]). We hypothesized that same-basin recurrence risk would be low after PLND. METHODS: Retrospective review at four tertiary care hospitals identified patients who underwent PLND. The primary outcome was 3-year cumulative incidence of isolated same-basin recurrence. RESULTS: Twenty-one patients underwent PLND for cLN without synchronous distant metastases. Reasons for forgoing CLND included patient preference (n = 11), comorbidities (n = 5), imaging indeterminate for distant metastases (n = 2), partial response to checkpoint blockade (n = 1), or not reported (n = 2). A median of 2 nodes (range: 1-6) were resected at PLND, and 68% contained melanoma. Recurrence was observed in 33% overall. Only 1 patient (5%) developed an isolated same-basin recurrence. Cumulative incidences at 3 years were 5.0%, 17.3%, and 49.7% for isolated same-basin recurrence, any same-basin recurrence, and any recurrence, respectively. Complications from PLND were reported in 1 patient (5%). CONCLUSIONS: These pilot data suggest that PLND may provide adequate regional disease control with less morbidity than CLND. These data justify prospective evaluation of PLND in select patients.","journal":"Journal of Surgical Oncology","year":2022,"id":294696,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":2,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9481,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2022-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":347689,"name":"Yinin Hu","orcid":"0000-0002-4324-9530","position":1,"is_corresponding":false},{"id":374164,"name":"Norma E. Farrow","orcid":"0000-0002-0404-214X","position":2,"is_corresponding":false},{"id":528476,"name":"Yun Song","orcid":"0000-0002-1822-303X","position":3,"is_corresponding":false},{"id":363608,"name":"Max O. Meneveau","orcid":"0000-0002-8410-061X","position":4,"is_corresponding":false},{"id":980038,"name":"Minyoung Kwak","orcid":"0009-0003-8617-2611","position":5,"is_corresponding":false},{"id":574693,"name":"Michael Lowe","orcid":"0000-0003-4853-7352","position":6,"is_corresponding":false},{"id":245670,"name":"Edmund K. Bartlett","orcid":"0000-0002-0923-153X","position":7,"is_corresponding":false},{"id":32895,"name":"Georgia M. Beasley","orcid":"0000-0001-6387-9030","position":8,"is_corresponding":false},{"id":251288,"name":"Giorgos C. Karakousis","orcid":"0000-0002-9321-2795","position":9,"is_corresponding":false},{"id":79696,"name":"Craig L. Slingluff","orcid":"0000-0002-6664-4373","position":10,"is_corresponding":false},{"id":480701,"name":"Kevin Lynch","orcid":"0000-0002-9845-6617","position":0,"is_corresponding":true}],"reference_count":30,"raw_metadata":null,"created_at":"2026-07-19T00:31:01.450041Z","pmid":"36115028","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}