melanoma.3.1.gv

digraph {
  graph [rankdir = LR; splines=ortho; overlap=true]
  node [shape = box, fontname = Helvetica]

#  T1->T2->T22->T3->T4 [style=invis]
#  T22 [style=invisible]
#  T1->
#  S3->S4 [style=invis]
#  Tx3->OP41->OP40 [style=invis]
  S3->W3->Tx3->FU3
#  Tx41->Tx42 [style=invis]
#  OP41->OP40 [style=invis]
#  S4->W4->Tx4->FU4

#  S4->W4->OP41->Tx41->Resi0->FU4
#                Tx41->Resi1->OP40
#                Tx42->M0->Tx421
#                Tx42->M1->OP40
#      W4->OP40->B1->OT4->FU41
#          OP40->B0->FU41


#  {rank = same; S3; S4}
#  {rank = same; W3; W4}
#  {rank = same; OP40; OP41}
#  {rank = same; Tx3; Tx41; B0; B1}
#  {rank = same; FU3; FU4; FU41}
#  {rank = same; Resi0; Resi1; OT4}
#  {rank = same; N0; N1}


#  T1 [label = "CLINICAL/\lPATHOLOGICAL STAGE\l"; width=2.5; shape=plaintext]
#  T2 [label = "WORKUP"; shape=plaintext]
#  T3 [label = "PRIMARY TREATMENT"; shape=plaintext]
#  T4 [label = "ADJUVANT TREATMENT"; shape=plaintext]

  S3 [label ="III期癌\n(In-transit)"; width=3; height=2]
#  S4 [label ="IV期癌\n(轉移)"; width=3; height=2]

  W3 [label = "細針抽吸淋巴結檢查為佳\l
或core, incisional, excisional 淋巴結切片\l
建議為腫瘤分期及評估特定症狀與症候\l安排基礎影像檢查(CT, PET/CT, MRI)\l\l";
height=2.5; width=6]
#  W4 [label = "若無已存組織可進行基因檢查，安排淋巴結細針抽吸或\l
#LDH\l
#BRAF 基因突變分析\l
#為腫瘤分期及評估特定症狀與症候安排基礎影像檢查\l(chest/abdominal/pelvic CT, PET/CT, brain MRI)\l";
#height=4; width=6]
#  W3 [label = "Discuss and consider sentinel node biopsy"]

  Tx3 [label = "臨床試驗(建議)\l
局部治療：盡可能確認邊緣完全切除\l
無法全切除：考慮放射線治療\l
系統性治療\l";
height=1.5; width=2.5]
  FU3 [label = "臨床試驗\l
觀察追蹤\l"; width=3; height=2]

}