To the Editor We read with interest the recent article by Calomarde-Rees et al1 on risk factors for lymphatic and hematogenous dissemination in patients with stage I and II melanoma. We agree that an improved understanding of the clinicopathological and mutation factors that relate to lymphatic and hematogenous dissemination is important to individualize surveillance strategies.
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Adler NR, McArthur GA, Mar VJ. Lymphatic and Hematogenous Dissemination in Patients With Primary Cutaneous Melanoma. JAMA Dermatol. Published online September 11, 2019. doi:10.1001/jamadermatol.2019.2658
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