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The article titled "Patterns of Recurrence in Patients with Melanoma after Radical Lymph Node Dissection" by Nathonsohn et al¹ is highly instructive and educational. This article discussed the patterns of recurrence of melanoma after radical lymph node dissection (RLND), but the authors have identified and have discussed the prognostic factor of recurrence of melanoma after RLND. The authors have identified only 1 prognostic factor in their 141 patients that can predict the recurrence of the disease after RLND. This predictor is Breslow thickness more than 4 mm. The authors did not consider other predictors such as location of the lesion, absence or presence of ulceration of the lesion, whether the lesion was the superficial spreading type or the nodular type, or the cytological analysis of the lesion. The authors have documented that there is a 52% failure rate during the follow-up period of 41 months, of which 70% of patients . . . [Full Text of this Article]

AUTHOR INFORMATION
M. Badruddoja, MD, FRCS, FRACS

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