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BIB_428

Truncal melanoma has VARIABLE, MULTI-DIRECTIONAL lymphatic drainage — directly patient-site-specific (his primary is flank / lower trunk): if he is ever upstaged and SLNB becomes indicated, drainage may go to axillary AND/OR inguinal (and occasionally other) basins, so pre-operative lymphoscintigraphy (± SPECT-CT) + dual tracer is essential and clinical surveillance must cover BOTH candidate basins. CRITICAL anti-anxiety counterpoint (Gordon 2014): uncommon/multiple-basin drainage does NOT worsen survival — it is a TECHNICAL MAPPING consideration, not a prognostic one. Fills a ZERO-coverage ga…

Evidence grade

B

Tier

3 (Bobirca cohort: sin

Cited by tasks

4, 24, 24a

Identifiers

PMC10486776

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Full extracted findings & patient-implication analysis: bibliography/BIB_428/findings.md (research corpus). This page is a short context summary — not individualised medical advice.