Abstract:
BACKGROUND:Optimal management of regional lymph nodes for thin cutaneous melanoma is uncertain. We evaluated regional lymph node involvement and 5-year melanoma-specific survival (MSS) in patients with thin (≤1 mm) primary melanoma. METHODS:Patients with a melanoma, American Joint Committee on Cancer Staging 8th Edition pT1a (<0.8 mm) or pT1b (ulceration; and/or 0.8-1.0 mm), diagnosed during 2001-2015 were identified from the Queensland Oncology Repository. We extracted demographic, pathology and clinical details, including sentinel lymph node biopsy (SLNB), regional nodal dissection and nodal recurrence. Poisson regression was used to assess recurrence risk in patients who did not undergo SLNB. The 5-year MSS was calculated using the Kaplan-Maier method with Cox regression to compare survival outcomes according to SLNB performance. RESULTS:Of the 27 824 eligible patients, 240 (0.9%) underwent SLNB. One hundred and seventy-eight patients (0.6%) without SLNB had nodal recurrence. Of the 4848 patients with a pT1b lesion, 166 (3.4%) had SLNB with 12 (7.2%) positive; of the remainder, 99 (2.1%) had clinical recurrence. Risk of recurrence was higher in males, nodular subtype and T1b lesions and lower if patients were aged >60 years. The 5-year MSS was similar for observed and SLNB cohorts (99.66% versus 98.92%) but worse for T1b lesions (98.90%) and clinical nodal recurrence (66.89%). CONCLUSION:Overall prognosis for T1 melanoma is excellent with nodal involvement being rare. However, the American Joint Committee on Cancer 8th Edition T1b melanoma correlates with significantly worse 5-year MSS and increased regional nodal recurrence (notably for 0.8-1.0 mm lesions with ulceration). Further characterization of high-risk groups for nodal positivity that impacts patient outcome is needed for the pT1 melanoma cohort.
journal_name
ANZ J Surgjournal_title
ANZ journal of surgeryauthors
Theile H,Moore J,Dunn N,Cossio D,Forristal CE,Green AC,Smithers BMdoi
10.1111/ans.15804subject
Has Abstractpub_date
2020-04-01 00:00:00pages
503-507issue
4eissn
1445-1433issn
1445-2197journal_volume
90pub_type
杂志文章abstract:BACKGROUND:Tibial-plateau fractures with depressed osteochondral fragments have a high incidence of articular subsidence post reduction. Locking plates aim to prevent this via 'raft' screws below the subchondral bone. However, differences in plate design and patient anatomy result in variability of screw position in re...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.14978
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:Implant-based breast reconstruction is becoming increasingly popular because of the widespread adoption of acellular dermal matrix (ADM), which allows surgeons to obtain good aesthetic results with fewer operations. To develop more conservative surgical techniques, a retrospective, three-centre, proof-of-con...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12849
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Spina bifida occulta (SBO) is generally known as a benign isolated entity; however, there are ambiguous approaches for neuroaxial screening in cases of symptomatic SBO among institutions. This study aims to demonstrate the infrequency of cranial anomalies associated with symptomatic SBO and inquire the neces...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15164
更新日期:2019-07-01 00:00:00
abstract::Abdominal Compartment Syndrome (ACS) is an increasingly recognized syndrome of intra-abdominal hypertension and generalized physiological dysfunction in critically ill patients. Patients suffering a ruptured abdominal aortic aneurysm (rAAA) are at risk of developing ACS. The objective of the study was to compare the c...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2008.04466.x
更新日期:2008-08-01 00:00:00
abstract::Despite the many possible modes of presentation, congenital anomalies of the inferior vena cava are increasingly being found in asymptomatic patients. Although plain chest radiography may reveal enough suggestive signs, the diagnosis is usually confirmed by ultrasound, computed tomography and magnetic resonance imagin...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02502.x
更新日期:2003-05-01 00:00:00
abstract:BACKGROUND:There are various methods to design mastectomy flaps but few are standardized. Lateral skin folds or 'dog ears' are a common, unsightly and uncomfortable consequence following a surgery in overweight patients. METHODS:We describe a simple technique for designing mastectomy flaps and a method to eliminate th...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06046.x
更新日期:2012-05-01 00:00:00
abstract:BACKGROUND:Thoracic Outlet Syndrome (TOS) refers to compression of the neurovascular structures in the region between the scalene muscles and the first rib, or by anatomical abnormalities such as cervical rib, fibrous bands and other variations in the scalene musculature. METHODS:Our experience with 63 consecutive ope...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2004.03016.x
更新日期:2004-06-01 00:00:00
abstract:BACKGROUND:To assess the outcomes of patients undergoing percutaneous renal artery embolization (PRAE) prior to radical nephrectomy. METHODS:We performed retrospective chart review of patients undergoing PRAE in Auckland Public Hospital from January 2004 to December 2011. PRAE was performed under epidural anaesthesia ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12545
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND:The present paper examines the local recurrence rate following surgical treatment for carcinoma of the lower rectum with principally blunt dissection directed at tumour-specific mesorectal excision (including total mesorectal excision when appropriate). METHODS:During the period April 1987-December 1999, 12...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-1433.2004.03136.x
更新日期:2004-09-01 00:00:00
abstract:BACKGROUND:The great auricular nerve (GAN) is frequently sacrificed during parotidectomy and causes sensory disturbance of the auricle. Our study is to investigate whether GAN preservation can improve the sensory recovery. METHODS:Patients undergoing superficial or total conservative parotidectomy for benign tumours w...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2007.04064.x
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND:Laparoscopic liver resection (LLR) is increasingly common worldwide but its suitability in patients with cirrhosis is not clearly defined. There are minimal data in the western literature on this topic and previous work has compared LLR to open hepatectomy rather than to LLR in non-cirrhotic patients. This s...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15745
更新日期:2020-06-01 00:00:00
abstract:BACKGROUND:This study aimed to (i) investigate the factors that influence donor and recipient decision making in adult-to-adult living donor liver transplantation (AALDLT); (ii) quantify the level of risk that would be acceptable to potential donors; and (iii) determine from whom an individual would be willing to recei...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12839
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Recent trials on rectal cancer have demonstrated significant improvements in local recurrence without improvements in overall survival. The aim of this paper was to define the influence of local recurrence on survival in a prospective series of patients who underwent R0 or R1 resections for rectal cancer. M...
journal_title:ANZ journal of surgery
pub_type: 临床试验,杂志文章
doi:10.1111/ans.12214
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:Although patterns of return of bowel function (ROBF) following colorectal surgery with enhanced recovery after surgery (ERAS) programmes have been well delineated, regular morphine use is uncommon. This study describes the patterns of post-operative nausea and vomiting (PONV) and ROBF in this context. METHO...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13290
更新日期:2015-11-01 00:00:00
abstract::Morgagni herniae are rare congenital diaphragmatic hernia, which normally present late in adult life with minimal symptoms. They are always associated with a peritoneal hernial sac, and often contain transverse colon or stomach. We present an unusual case of a Morgagni hernia containing caecum in an 81-year-old woman,...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1046/j.1445-2197.2003.02745.x
更新日期:2003-09-01 00:00:00
abstract::It was the achievement of Andreas Vesalius (1514-1564) to redefine the understanding of human anatomy; and that of Homer was to write the first historical novel. This paper offers a link between the works of these two venturers, by way of an examination of the clinical anatomy of the clavicle. ...
journal_title:ANZ journal of surgery
pub_type: 传,历史文章,杂志文章
doi:10.1111/j.1445-2197.2011.05711.x
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Few studies have investigated the risk factors associated with developing intestinal stoma complications using appropriate multivariable methods. We aimed to determine the prevalence of, and risk factors for, stomal complications. METHODS:A retrospective, case-control methodology was used to investigate 12 ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13397
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Gastrointestinal (GI) complications after cardiac surgery are uncommon, but are associated with high morbidity and mortality as well as significant hospital resource utilization. METHODS:We analysed a prospectively collected database containing all adult cardiac surgery procedures performed from July 2001 t...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12134
更新日期:2013-09-01 00:00:00
abstract:BACKGROUND:Mastectomy for breast cancer treatment and prophylaxis has improved survival for patients. The advantage of implant reconstruction post mastectomy is that it avoids an additional donor site with its associated morbidity, which post-mastectomy autologous reconstruction necessitates. However, the deficiency of...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2012.06313.x
更新日期:2013-03-01 00:00:00
abstract:BACKGROUND:Although various surgical procedures have been described for pilonidal sinus disease, the best surgical technique is still controversial. The aim of this study was to evaluate the short-term results of modified elliptical rotation flap (MERF) for pilonidal sinus disease in terms of post-operative complicatio...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12818
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:Recent analyses of the surgical literature have suggested a general trend towards increasing numbers of published articles and an improved quality of evidence produced. The aim of this bibliometric analysis was to identify trends in the publication of general surgical research in New Zealand from 1996 to 201...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13821
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:This study aimed to investigate incidence of surgical site infection (SSI) following the surgery of intra-articular fractures of distal femur. METHODS:Between July 2014 and December 2017, inpatient medical records of consecutive patients who had intra-articular fractures of distal femur treated by open redu...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.15263
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:Caecal bascule is a rare condition characterized by the inferior pole of the caecum folding on a horizontal axis antero-superiorly towards the ascending colon, potentially causing obstruction. An unusual variant of volvulus, diagnosis is challenging due to its obscurity. We present the experience of an Austr...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/ans.13898
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:Fournier's gangrene, first described by Dr Jean Alfred Fournier in 1883, still has a high mortality rate. The prognosis and outcome of such patients were analysed. METHODS:Forty-one patients with Fournier's gangrene were reviewed on the parameters of age, sex, aetiological agents, predisposing factors, trea...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/j.1445-2197.2005.03609.x
更新日期:2005-12-01 00:00:00
abstract:INTRODUCTION:Outcomes are reviewed with traumatic brain injury (TBI) involving intracranial haematomata (ICH) with patients in rural and remote areas of South Australia and adjacent states. Patients were referred to the Royal Adelaide Hospital (RAH), a level 1 trauma centre with a major neurosurgical service. METHOD:F...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.13583
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:While free flaps can be used in many cases to cover soft tissue defects in the distal leg and ankle in a single stage, factors such as diabetes and advanced age can interfere with success of vascular anastomoses. METHODS:Twenty-five patients with deep tissue exposure of the distal leg and ankle underwent re...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12095
更新日期:2013-12-01 00:00:00
abstract::Cancer of the small bowel is a rare entity but its incidence is rising. Historically, outcome is poor despite apparent curative resection. At present surgery remains the only treatment modality of proven benefit in the management of this disease. Recent data would suggest 5-year survival rates in the order of 40-50% a...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1046/j.1440-1622.2001.02149.x
更新日期:2001-07-01 00:00:00
abstract::Carpal tunnel syndrome is a common condition affecting 1% of the population. Open carpal tunnel release is the most commonly performed procedure for this condition. About 70-90% of patients have good to excellent long-term outcomes with open carpal tunnel release. The remainder have poor outcomes. An understanding of ...
journal_title:ANZ journal of surgery
pub_type: 杂志文章,评审
doi:10.1111/j.1445-2197.2009.05175.x
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Deficiencies in daily ward rounds are increasingly identified. A ward safety checklist has recently been devised to improve the fast-paced surgical ward round. METHODS:Over 2 weeks the morning post-take surgical ward round was evaluated using the ward safety checklist. In order to avoid the Hawthorne effect...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.12496
更新日期:2014-10-01 00:00:00
abstract:BACKGROUND:To formulate clinical pathways for identifying clinically significant prostate cancer (csPC) and avoiding insignificant prostate cancer (isPC) in those without suspicious regions of interest on multi-parametric magnetic resonance imaging (mpMRI) of the prostate. METHODS:A retrospective review identified pat...
journal_title:ANZ journal of surgery
pub_type: 杂志文章
doi:10.1111/ans.16583
更新日期:2021-01-21 00:00:00