RT Journal A1 Linos E T1 Sentinel lymph node biopsy in early melanoma: Comment on “what the surgeon should have said to my patient with thin malignant melanoma” JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2012 FD June 25 VO 172 IS 12 SP 907 OP 907 DO 10.1001/archinternmed.2012.1905 UL http://dx.doi.org/10.1001/archinternmed.2012.1905 AB Sentinel node biopsy may be a useful prognostic tool for a subset of melanomas of intermediate stage.1 The Perspective by Benjamin and Froom,2 however, highlights the problems with its use in a different situation: a patient with an early stage IA melanoma, 0.5 mm in depth, without ulceration or a high mitotic rate. This patient has an excellent prognosis, with a 98% expected survival at 15 years and a greater than 97% chance of having clear lymph nodes.3- 4