1485 – Sentinel Lymph Node Biopsy for intermediate thickness melanoma

Page last updated: 24 April 2017

Application Detail

Status

Open

Description of Medical Service

Sentinel lymph node biopsy (SLNBx) is a procedure performed to determine if melanoma cells have spread to the sentinel lymph nodes for patients with intermediate thickness melanoma.

SLNBx with excision of lymph node(s) is identified by a combination of blue dye (lymphotropic dye injection) and lymphoscintography/gamma probe, ideally performed at the time of the primary melanoma wide excision.

Description of Medical Condition

Melanoma is a malignancy of skin pigment cells (melanocytes). The lifetime risk for melanoma in Australia is 1 in 24 for males and 1 in 35 for females. In 2011 there were 11,500 new cases diagnosed in Australia (Cancer Council Australia) and more than 1,500 die each year from the disease.

About 70% of cases are diagnosed at an early stage (<1.0mm thickness) where 5-year survival is > 95%. With increasing depth, there is a stepwise decline in survival. Sentinel node status is the most significant prognostic indicator in patients with intermediate thickness melanoma. Patients with intermediate thickness melanoma (1.0-4.0mm depth) have an increased risk of lymph node involvement and hence poorer survival.

Reason for Application

New MBS item

Medical Service Type

Investigative

Previous Application Number

Not Applicable

Associated Documentation

Application Form

Completed Application Form (PDF 698 KB)
Completed Application Form (Word 103 KB)

Consultation Survey

Consultation Survey (PDF 102 KB)
Consultation Survey (Word 506 KB)

PICO Confirmation

Draft PICO Confirmation (Word 571 KB)
Draft PICO Confirmation (PDF 856 KB)

Assessment Report

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Public Summary Document

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Meetings for this Application

PASC

10 August 2017

ESC

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MSAC

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