Use of sentinel lymph node biopsy for melanoma in children and adolescents

Mehul V. Raval, Karl Y. Bilimoria, David J. Bentrem, Andrew K. Stewart, Clifford Y. Ko, Marleta Reynolds, Jeffrey D. Wayne

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Background Though sentinel lymph node biopsy (SLNB) is an integral component of melanoma staging, little is known about its use in children. Methods Patients (0-18 years) with melanoma diagnosed from 2003 to 2007 in the National Cancer Data Base were assessed. Logistic regression models were used to identify clinicopathologic, socioeconomic, and hospital factors associated with SLNB use and lymph node metastases (LNM). Results Of 671 children, 68.7% underwent SLNB. SLNB utilization rates were 39.9% for T1a patients and 87.6% for T1b-T3 patients. T1b-T3 patients were more likely to undergo SLNB if they were older (OR 4.86 95% CI: 1.88-12.59) or cared for at Children's hospitals (OR 2.43 95% CI: 1.09-5.40). T1b-T3 patients were less likely to undergo SLNB if uninsured (OR 0.25 95% CI: 0.08-0.76). Of those with SLNB, 118 (25.6%) had pathologically confirmed LNM. Patients were more likely to have LNM if younger (OR 3.19 95% CI: 1.20-8.51) or having higher T stage (OR 10.38 95% CI: 4.59-23.47). Conclusions SLNB use for children with melanoma was associated with clinicopathologic, socioeconomic, and hospital factors. Younger patients have a higher likelihood of LNM but are the least likely to undergo SLNB. Though overall adherence appears high, there remains an opportunity for improved care for children with melanoma.

Original languageEnglish (US)
Pages (from-to)634-639
Number of pages6
JournalJournal of surgical oncology
Volume102
Issue number6
DOIs
StatePublished - Nov 1 2010

Keywords

  • National Cancer Data Base
  • melanoma
  • pediatric oncology
  • pediatric surgery
  • sentinel lymph node biopsy

ASJC Scopus subject areas

  • Surgery
  • Oncology

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