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Excision of primary site
and RDT to primary site
•
1-2 cm free margins
•
SLNB in cases with LN clinically negative
Completion Lymphadenectomy:
LN clinically positive or SLNB positive
Adjuvant Radiotherapy:
•
Primary site (stage I/II, improved OS)
•
Draining lymph node basin if SLNB positive and No Lymphadenectomy
•
Draining lymph node basin if SLNB negative and risk of false positive
•
Controversial following Lymphadenectomy
Adjuvant Chemotherapy:
Not recommended
Loco-regional Treatment
Schadendorf et al. Eur J Cancer 2017; Becker et al. Nat Rev Prim Diseas 2017