{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T10:52:54Z","timestamp":1783335174596,"version":"3.54.6"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T00:00:00Z","timestamp":1603152000000},"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":["Asia-Pac J Clncl Oncology"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background: Sentinel lymph node biopsy (SLNB) of primary cutaneous melanoma as an important staging method has not been popularly undertaken in Korea and only a few studies with small patient numbers have been published.<\/jats:p><jats:p>Aim: We examined the clinical feasibility and overall outcomes of SLNB in acral melanoma (AM) of Korean in Kyungpook National University Hospital (KNUH) over the past 13 years.<\/jats:p><jats:p>Methods: SLNB in AM patients during 2006\u20132018 were analyzed retrospectively for sentinel lymph node (SLN) harvesting rate, positivity rate, positivity\u2010relevant overall survival (OS) and disease\u2010free survival (DFS), and its side effects.<\/jats:p><jats:p>Results: A total of 109 AM patients who underwent SLNB were enrolled. Harvested nodes were identified from 107 patients and SLN harvesting rate was 98.2%. The mean Breslow thickness (\u00b1standard deviation) was 3.38 \u00b1 3.03\u00a0mm, and the proportion of ulcerated melanomas was 64%. Twenty\u2010two (20.6%) had a tumor\u2010positive SLN and, among them, 82% (18\/22) underwent immediate complete lymph node dissection (CLND). The metastasis\u2010positive nodal basin after CLND was detected in 16.7% of cases (3\/18). Tumor\u2010negative SLN cohorts showed significantly better OS and DFS than tumor\u2010positive ones (<jats:italic>P\u00a0<\/jats:italic>=\u00a00.006 and <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001 for each). Two side effects, one seroma and one lymphocele, were observed without major sequelae.<\/jats:p><jats:p>Conclusion: SLNB, crucial management of melanoma, proved its efficacy to predict patients\u2019 prognosis and could be performed successfully and safely in Korean AM patients by interdisciplinary cooperation between dermatology and other surgical departments. SLN(\u2212) showed significantly better OS and DFS than SLN(+). Significant risk factors for DFS were Breslow thickness, the presence of ulceration and the presence of SLN metastasis. SLNB should be encouraged in order to stage melanoma accurately and direct the proper management in Korean AM.<\/jats:p>","DOI":"10.1111\/ajco.13425","type":"journal-article","created":{"date-parts":[[2020,10,20]],"date-time":"2020-10-20T15:57:13Z","timestamp":1603209433000},"page":"115-122","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Sentinel lymph node biopsy in acral melanoma: A Korean single\u2010center experience with 107 patients (2006\u20132018)"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1452-7896","authenticated-orcid":false,"given":"Chihyeon","family":"Sohng","sequence":"first","affiliation":[{"name":"Department of Dermatology School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Bo","family":"Sim","sequence":"additional","affiliation":[{"name":"Park and Lee Dermatologic Clinic  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2999-1018","authenticated-orcid":false,"given":"Jun Young","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Dermatology School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yangsoo","family":"Lim","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8856-553X","authenticated-orcid":false,"given":"Man Hoon","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Pathology School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoseok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Radiology School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Byeong\u2010Cheol","family":"Ahn","sequence":"additional","affiliation":[{"name":"Department of Dermatology Nuclear Medicine School of Medicine Kyungpook National University Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0275-4960","authenticated-orcid":false,"given":"Seung","family":"Huh","sequence":"additional","affiliation":[{"name":"Department of Surgery School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6131-632X","authenticated-orcid":false,"given":"Seok\u2010Jong","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Dermatology School of Medicine Kyungpook National University Hospital  Daegu South Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,20]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.det.2012.04.008"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1310460"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.3349\/ymj.2010.51.4.562"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.12972"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10147-009-0941-0"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2010.01002.x"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2011.01318.x"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/CMR.0b013e328355e558"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/CMR.0b013e32834dcfdf"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2014.10.008"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfma.2013.06.018"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(99)70251-3"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.10140"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-013-3089-0"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/archdermatol.2008.609"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.5021\/ad.2014.26.2.177"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.18.02306"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1613210"},{"key":"e_1_2_5_20_1","unstructured":"National Cancer Database.American College of Surgeons Cancer Programs. Available at:https:\/\/www.facs.org\/qualityprograms\/cancer\/ncdb. Accessed March 10 2020."},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2001.19.16.3622"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.50.1114"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2009.0023"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.40.3519"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/CMR.0b013e328353e673"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02523658"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(02)01102-9"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10434-999-0442-4"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.1998.16.6.2253"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2016.06.407"}],"container-title":["Asia-Pacific Journal of Clinical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.13425","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ajco.13425","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ajco.13425","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,3]],"date-time":"2023-09-03T16:37:54Z","timestamp":1693759074000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ajco.13425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,20]]},"references-count":29,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,2]]}},"alternative-id":["10.1111\/ajco.13425"],"URL":"https:\/\/doi.org\/10.1111\/ajco.13425","archive":["Portico"],"relation":{},"ISSN":["1743-7555","1743-7563"],"issn-type":[{"value":"1743-7555","type":"print"},{"value":"1743-7563","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,20]]},"assertion":[{"value":"2019-10-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-18","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}