NCCN Guidelines for Patients® | Melanoma - page 66

66
NCCN Guidelines for Patients
®
: Melanoma
Version 1.2013
Part 6: A step-by-step treatment guide
Initial treatment for recurrence
Additional treatment
6.4.3 Regional lymph node recurrence treatment
Previous treatment
Complete lymph node dissection
to remove all cancer
Didn’t have lymph
node dissection
Had lymph node
dissection
Able to have surgery:
Tumor excision +
Complete lymph
node dissection if
not done before
U
nable to have surgery or
cancer is widespread
A
ll cancer
removed
All cancer
not removed
Clinical trial, or
Observation, or
Interferon alfa, and/or
Possible radiation therapy
Clinical trial,
Radiation therapy,
Systemic therapy, or
Best supportive care
Clinical trial, or
Observation, or
Interferon alfa, and/or
Possible radiation therapy
Clinical trial,
Radiation therapy,
Systemic therapy, or
Best supportive care
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