Abstract：
BACKGROUND:Vulvar melanoma is a very rare form of cancer. The purpose of this study was to describe practice patterns for the management of vulvar melanoma. STUDY DESIGN:The National Cancer Data Base was reviewed from 1985 through 1994 for patient reports submitted with a diagnosis of vulvar melanoma. RESULTS:Five hundred sixty-nine patients with vulvar melanoma were identified. A substantial number of patients were older; during the latter period of this study (1990 to 1994), 50% were 70 years old or older. Surgery was used in more than 90% of patients with stages 0 to III. Local excision was used mainly in early-stage (0 and I) disease. Adjuvant therapy was used infrequently. Lymph node evaluation was performed in more than half of the patients, with greater frequency for patients who had advanced disease. The overall 5-year relative survival rate was 62%. If the lymph nodes contained metastases, survival was poor. Patients with recurrent disease also had poor survival. CONCLUSIONS:Surgery remains the mainstay of therapy for vulvar melanoma. The use of excision and radical operations remained constant during the 10 years of the study.
journal_name
J Am Coll Surgjournal_title
Journal of the American College of Surgeonsauthors
Creasman WT,Phillips JL,Menck HRdoi
10.1016/s1072-7515(99)00033-2keywords:
subject
Has Abstractpub_date
1999-06-01 00:00:00pages
670-5issue
6eissn
1072-7515issn
1879-1190pii
S1072751599000332journal_volume
188pub_type
杂志文章abstract：BACKGROUND:Computed tomography is commonly used to rule out intra-abdominal injury (IAI) in children, despite associated cost and radiation exposure. Our purpose was to derive a prediction rule to identify children at very low risk for IAI after blunt abdominal trauma (BAT) for whom a CT scan of the abdomen would be un...
journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/j.jamcollsurg.2016.12.041
更新日期：2017-04-01 00:00:00
abstract：BACKGROUND:Few graduating residents seek surgical critical care (SCC) fellowships; fewer than half of positions fill. We hypothesized substantial differences exist in practice patterns and attitudes between SCC surgeons in academic practice (ACs) and in private practice (PVTs). STUDY DESIGN:A survey instrument was sen...
journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/j.jamcollsurg.2007.10.004
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abstract：BACKGROUND:Accurate detection of metastasis to lymph nodes is an essential component of the approach to treatment. The purpose of this study was to evaluate the utility of magnetic resonance imaging with ferumoxtran-10 in diagnosing lymph node metastasis in esophageal cancer. STUDY DESIGN:Sixteen patients with esophag...
journal_title：Journal of the American College of Surgeons
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doi：10.1016/j.jamcollsurg.2005.12.004
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abstract：BACKGROUND:This study was undertaken to investigate the effect of growth hormone (GH) and insulin-like growth factor I (IGF-I), two well-known growth factors, on bacterial translocation, endotoxemia, enterocyte apoptosis, and intestinal and liver histology in a model of experimental obstructive jaundice in rats. STUDY...
journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/s1072-7515(99)00285-9
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abstract：BACKGROUND:Metabolic syndrome (MetS) increases cardiovascular risk and is associated with poor patient outcomes. We hypothesized that MetS confers an increased risk of morbidity and mortality in severely injured trauma patients. STUDY DESIGN:We performed a retrospective review of trauma patients from 2014 through 2018...
journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
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更新日期：2014-06-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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更新日期：2001-08-01 00:00:00
abstract：BACKGROUND:The hazards of operative treatment for variceal hemorrhage and intractable ascites in patients with cirrhosis are well known. Much less information is available on the morbidity and mortality in these patients after abdominal operations not directly related to the sequelae of portal hypertension. STUDY DESI...
journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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更新日期：2015-05-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
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更新日期：2014-04-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/j.jamcollsurg.2008.01.016
更新日期：2008-07-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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更新日期：2003-01-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1999-04-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2003-04-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：
更新日期：1994-10-01 00:00:00
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
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journal_title：Journal of the American College of Surgeons
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更新日期：2013-07-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 共识发展会议,杂志文章
doi：10.1016/j.jamcollsurg.2012.05.035
更新日期：2012-10-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/j.jamcollsurg.2012.01.049
更新日期：2012-05-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 临床试验,杂志文章
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更新日期：2016-11-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：
更新日期：1997-10-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/j.jamcollsurg.2005.07.009
更新日期：2005-12-01 00:00:00
abstract：BACKGROUND:Reoperation in the neck can be challenging and is associated with increased complication rates and operative times. Here we analyze our methylene blue dye injection method to localize reoperative neck pathology in patients with thyroid cancer and lymph node metastases. STUDY DESIGN:We retrospectively review...
journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
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更新日期：2012-10-01 00:00:00
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journal_title：Journal of the American College of Surgeons
pub_type： 杂志文章
doi：10.1016/j.jamcollsurg.2008.06.341
更新日期：2008-11-01 00:00:00
