MSK Melanoma Nomogram

MSK Nomogram: Validated tool for predicting sentinel lymph node (SLN) positivity.

Pathology Inputs

Breslow Thickness (mm)

Mitotic Rate (per mm²)

Awaiting Findings

Enter the Breslow thickness and other pathology features to estimate the statistical probability of lymph node spread.

Guidelines & Evidence

Verified

Last Review: 2026

When to Use

Predicting the probability of sentinel lymph node (SLN) metastasis in clinically node-negative cutaneous melanoma.

Aiding in shared decision-making regarding whether to perform a Sentinel Lymph Node Biopsy (SLNBx).

Particularly useful for borderline cases (e.g., thin melanomas < 1 mm) where guidelines may be equivocal.

Related Scores in Practice

In clinical practice, this assessment is frequently evaluated alongside other validated measures. Depending on the patient's presentation and specific diagnostic requirements, you may also need to utilize the AJCC Melanoma Staging, Breslow & Clark Microstaging or the Melanoma Risk Screening to formulate a comprehensive care plan.

Last Comprehensive Review: 2026

Related Dermatology Tools

AJCC Melanoma Staging

Breslow & Clark Microstaging

Melanoma Risk Screening

EASI Score

DLQI

RegiSCAR DRESS Validation

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