{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T18:20:14Z","timestamp":1761157214329},"reference-count":17,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T00:00:00Z","timestamp":1629244800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The evidence\u2010based management of melanoma patients with a positive sentinel lymph node biopsy (SLNB) has undergone a dramatic shift following publication of practice\u2010changing surgical trials demonstrating no melanoma\u2010specific survival advantage for completion lymph node dissection (CLND) in this scenario. We aimed to survey how surgeons' clinical practice had shifted in response to new evidence from these trials, and at a time when there was starting to become available systemic adjuvant treatments for AJCC Stage III melanoma patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A web\u2010based survey consisting of practice\u2010based questions and hypothetical clinical scenarios about current melanoma practice with regard to positive sentinel node biopsy was developed and sent to the surgical members of a Melanoma and Skin Cancer (MASC) Trials group in December 2018. Responses were analysed using descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 212 invitations sent and 65 respondents (31%). Respondents were from 17 countries, 94% of whom practice in specialist melanoma centres or at referral centres. Of these 97% were familiar with the MSLT2 and DeCOG\u2010SLT clinical trials. At survey, 5% of respondents reported routinely recommending CLND\u00a0and 55% recommend CLND in selected cases. Respondents were most likely to recommend CLND when multiple SLNs were positive. Important factors for surgical decision\u2010making mentioned included size of SLN deposit, number of positive SLNs\u00a0and likely compliance with the recommended surveillance regimen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In line with rapid adoption of published evidence, surgical management of Stage III melanoma has altered significantly, with few surgeons within the cohort now performing routine CLNDs after positive SLNB.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.26641","type":"journal-article","created":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T15:42:02Z","timestamp":1629301322000},"page":"1544-1550","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["A survey of surgical management of the sentinel node positive melanoma patient in the post\u2010MSLT2 era"],"prefix":"10.1002","volume":"124","author":[{"given":"Jennifer S.","family":"Downs","sequence":"first","affiliation":[{"name":"Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suren","family":"Subramaniam","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael A.","family":"Henderson","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre Melbourne Victoria Australia"},{"name":"University of Melbourne Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Paton","sequence":"additional","affiliation":[{"name":"Melanoma and Skin Cancer Trials Ltd Monash University Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew J.","family":"Spillane","sequence":"additional","affiliation":[{"name":"Melanoma Institute Australia The University of Sydney Sydney New South Wales Australia"},{"name":"Royal North Shore Hospital, St Leonards Sydney New South Wales Australia"},{"name":"Mater Hospital, Wollstonecraft Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon A.","family":"Mathy","sequence":"additional","affiliation":[{"name":"Auckland Regional Plastic Surgery Unit Auckland New Zealand"},{"name":"University of Auckland Auckland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David E.","family":"Gyorki","sequence":"additional","affiliation":[{"name":"Peter MacCallum Cancer Centre Melbourne Victoria Australia"},{"name":"University of Melbourne Melbourne Victoria 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