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This study evaluated long\u2010term node field control and survival of patients treated in this way in an era before effective adjuvant systemic therapy became available.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data for 76 patients treated between 1990 and 2011 were extracted from an institutional database. Baseline patient characteristics, treatment details\u00a0and oncological outcomes were analysed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adjuvant RT with conventional fractionation (median dose 48\u2009Gy in 20 fractions) was given to 43 patients (57%) and hypofractionated RT (median dose 33\u2009Gy in 6 fractions) to 33 patients (43%). The 5\u2010year node field control rate was 70%, 5\u2010year recurrence\u2010free survival 17%, 5\u2010year melanoma\u2010specific survival 26% and 5\u2010year overall survival 25%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Salvage surgery with adjuvant RT achieved node field control in 70% of melanoma patients with node field recurrence following a prior node dissection. However, disease progression at distant sites was common and survival outcomes were poor. Prospective data will be required to assess outcomes for contemporary combinations of surgery, adjuvant RT and systemic therapy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jso.27245","type":"journal-article","created":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T14:24:55Z","timestamp":1679927095000},"page":"97-104","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Adjuvant radiotherapy after salvage surgery for melanoma recurrence in a node field following a previous lymph node dissection"],"prefix":"10.1002","volume":"128","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7720-0639","authenticated-orcid":false,"given":"Lodewijka H. 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