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Although radical neck dissection has been the gold standard for cervical disease, modified dissections do not seem to compromise regional control in appropriately selected patients. In the axilla, a Level I, II, and III dissection is most commonly performed. Combined superficial and deep groin dissection is justified for clinically palpable disease although management of patients with histologically positive yet clinically non\u2010palpable disease is more controversial. Burden of disease, imaging, patient co\u2010morbidity, and Cloquet nodal status must be considered. Many technical variations exist in an attempt to improve morbidity rates secondary to lymphadenectomy. Unfortunately, complication rates are difficult to compare secondary to variable study designs, definitions, and patient populations. Adjuvant radiation therapy appears warranted in patients with high risk of regional recurrence including bulky disease, extracapsular extension or cervical location. J. Surg. Oncol. 2004;86:189\u2013199. \u00a9 2004 Wiley\u2010Liss, Inc.<\/jats:p>","DOI":"10.1002\/jso.20080","type":"journal-article","created":{"date-parts":[[2004,6,21]],"date-time":"2004-06-21T22:00:59Z","timestamp":1087855259000},"page":"189-199","source":"Crossref","is-referenced-by-count":60,"title":["Controversies in the management of metastatic melanoma to regional lymphatic basins"],"prefix":"10.1002","volume":"86","author":[{"given":"Lloyd A.","family":"Mack","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. 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