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dc.contributor.authorB. Pinkham, Mark
dc.contributor.authorC. Foote, Matthew
dc.contributor.authorBurmeister, Elizabeth
dc.contributor.authorThomas, Janine
dc.contributor.authorMeakin, Janelle
dc.contributor.authorMark Smithers, B.
dc.contributor.authorBurmeister, Bryan H.
dc.date.accessioned2017-05-03T13:17:14Z
dc.date.available2017-05-03T13:17:14Z
dc.date.issued2013
dc.date.modified2014-04-16T23:13:25Z
dc.identifier.issn03603016
dc.identifier.doi10.1016/j.ijrobp.2013.03.019
dc.identifier.urihttp://hdl.handle.net/10072/58608
dc.description.abstractPurpose To describe the anatomic distribution of regionally recurrent disease in patients with stage III melanoma in the axilla after curative-intent surgery with and without adjuvant radiation therapy. Methods and Materials A single-institution, retrospective analysis of a prospective database of 277 patients undergoing curative-intent treatment for stage III melanoma in the axilla between 1992 and 2012 was completed. For patients who received radiation therapy and those who did not, patterns of regional recurrence were analyzed, and univariate analyses were performed to assess for potential factors associated with location of recurrence. Results There were 121 patients who received adjuvant radiation therapy because their clinicopathologic features conferred a greater risk of regional recurrence. There were 156 patients who received no radiation therapy. The overall axillary control rate was 87%. There were 37 patients with regional recurrence; 17 patients had received adjuvant radiation therapy (14%), and 20 patients (13%) had not. The likelihood of in-field nodal recurrence was significantly less in the adjuvant radiation therapy group (P=.01) and significantly greater in sites adjacent to the axilla (P=.02). Patients with high-risk clinicopathologic features who did not receive adjuvant radiation therapy also tended to experience in-field failure rather than adjacent-field failure. Conclusions Patients who received adjuvant radiation therapy were more likely to experience recurrence in the adjacent-field regions rather than in the in-field regions. This may not simply reflect higher-risk pathology. Using this data, it may be possible to improve outcomes by reducing the number of adjacent-field recurrences after adjuvant radiation therapy.
dc.description.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherElsevier
dc.publisher.placeUnited States
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom702
dc.relation.ispartofpageto708
dc.relation.ispartofissue4
dc.relation.ispartofjournalInternational Journal of Radiation: Oncology - Biology - Physics
dc.relation.ispartofvolume86
dc.rights.retentionY
dc.subject.fieldofresearchCancer Therapy (excl. Chemotherapy and Radiation Therapy)
dc.subject.fieldofresearchOther Physical Sciences
dc.subject.fieldofresearchClinical Sciences
dc.subject.fieldofresearchOncology and Carcinogenesis
dc.subject.fieldofresearchcode111204
dc.subject.fieldofresearchcode0299
dc.subject.fieldofresearchcode1103
dc.subject.fieldofresearchcode1112
dc.titleStage III melanoma in the axilla: Patterns of regional recurrence after surgery with and without adjuvant radiation therapy
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2013
gro.hasfulltextNo Full Text
gro.griffith.authorBurmeister, Elizabeth


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