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Hypertensive. And Taylor, APR only if pt is incontinent or has severe pain from invasion of the sphincters anterior to ear-re-excision modified radical neck dissection and superficial parotidectomy Lymph Node Sampling SLN bx should be offered im all pts with extremity and truncal primaries greater than 1 mm in depth (except subungal) Get pre-op lymphoscintigraphy Use combo of handheld gamma counter and Lymphazurin blue dye Send sentinel node for frozen section Complete node dissection if sentinel node positive Only do deep node dissection in groin if have gross disease in apical nodes (sapheno-femoral Cloquets node) or CT shows suspicious iliac adenopathy Not if only microscopic disease in superficial nodes or CT suggests nodes that are positive to level of aortic bifurcation as unlikely to have any therapeutic benefit and downside of bro,ers leg edema.

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