Full Node Dissection May be History

This moderated forum is to support the needs of patients with stage III melanoma, as well as to answer questions about treatment options and what to expect.
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Catherine Poole
Posts: 11183
Joined: Wed Jan 02, 2008 12:09 am

Full Node Dissection May be History

Post by Catherine Poole » Fri Mar 02, 2018 7:27 am

A researcher at the MRA conference again confirmed that a full node dissection is most likely overkill. Often she feels that the melanoma cells have already escaped. Quality of life is a huge concern with a full node dissection whereas some folks may have to live a very limited life due to lymphedema and mobility issues. So it appears to me that adjuvant therapy may play a bigger role. We now have the PD1 drug opdivo and soon will have Keytruda approved for stage 3A and up. That may create a bigger quality of life issue deciding who should watch and wait and others who may experience serious side effects.
Catherine M. Poole, President/Founder
Melanoma International Foundation

Linny
Posts: 332
Joined: Fri Feb 03, 2012 9:24 pm

Re: Full Node Dissection May be History

Post by Linny » Wed Mar 14, 2018 10:58 pm

Would this also apply to those with unknown primaries?
Stage III, Unknown Primary; 1 positive node in left axilla

Catherine Poole
Posts: 11183
Joined: Wed Jan 02, 2008 12:09 am

Re: Full Node Dissection May be History

Post by Catherine Poole » Thu Mar 15, 2018 7:16 am

The biology would be the same for unknown primaries. So I would guess so. I also don't think this will go mainstream for a while. Patients will have to come prepared to present this point of few.
Catherine M. Poole, President/Founder
Melanoma International Foundation

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