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Date Published: 13/01/2022
Abstract Views: 221
Views PDF: 176
DOI: https://doi.org/10.51298/vmj.v509i2.1788
Issue
Vol. 509 No. 2 (2021)
Section
Các bài báo
How to Cite
Thanh Phương, V. ., Hồng Thăng, V. ., & Đại Bình, N. . (2022). EVALUTERESULTS AFTER SURGERY OF STAGE II, III CUTANEOUS MELANOMA AT K HOSPITAL. Vietnam Medical Journal, 509(2). https://doi.org/10.51298/vmj.v509i2.1788

EVALUTERESULTS AFTER SURGERY OF STAGE II, III CUTANEOUS MELANOMA AT K HOSPITAL

Vũ Thanh Phương1,, Vũ Hồng Thăng1, Nguyễn Đại Bình1
1 K Hospital

Main Article Content

Abstract

Objective: Study on clinical features andresults after adical surgery alone of stage II, IIIcutaneous melanoma. Subjects and methods: A retrospective and prospective  study on 130 cutaneous melanoma patients in stage II, III were treated with surgery at K hospital from 2013 to 2019. Results: The average age is 56,0 ± 1,8, which is common from 40 to 79 years old, youngest patient 18 year-old and the oldest one 85 year-old, male/female 1,03. Tumors are often located in the lower limbs 46,9%, black tumor 69.9%, change in size, shape100%, tumors grow on thick skin 42,3%, satellite 23,8%, ulcer 31,6%. Regional lymph node positive 48,5%, stage 2, 3 are 43,1%, 56,9%. Wide excision, lymphadenectomy 83,8%; amputation, disassembling, lymphadenectomy16,2%. Reconstruction after tumor resection by skin flap with vascular 13,8%, permuted skin flap 7,7% and skin patch 7%. Lymphedema after lymphadenectomy 11,5%, recurrenced tumor and regional lympho node 9,2%. Distant metastasis after treatment 51,5%, lung metastasis 50,7%, liver metastasis 10,5%, brain metastasis 13,4%, subcutaneous metastasis 6% and multi-organ metastasis 15.9%. The 1, 3, 5 years disease-free survival is 93,8%, 65,9% and 40,7%, respectively. The 1, 3, 5 years overall survivalis 100%, 73,1% and 47,1%, respectively.The 5-yearsoverall survival in stages 2, 3 is 75,3%,28%. Conclusion: Cutaneous melanoma is common: > 40 years old, lower limbs, black tumor, change in size, shape, grow on thick skin. Male/female 1,03, satellite 23,8%, ulcer 31,6%. Regional lymph node positive 48,5%, stage 2, 3 are 43,1%, 56,9%. Results after surgery: wide excision, lymphadenectomy 83,8%; amputation, disassembling, lymphadenectomy16,2%. Reconstruction after tumor resection by skin flap with vascular 13,8%, permuted skin flap 7,7% and skin patch 7%. Lymphedema after lymphadenectomy 11,5%, recurrenced tumor and regional lympho node 9,2%. Distant metastasis after treatment 51,5%.The 1, 3, 5 years disease-free survival is 93,8%, 65,9% and 40,7%, respectively. The 1, 3, 5 years overall survival is 100%, 73,1% and 47,1%, respectively. The 5-years overall survival in stages 2, 3 is 75,3%,28%.

Article Details

Keywords

Cutaneous melanoma, results after surgery

References

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