Inguinal Lymph Node Dissection for Advanced Stages of Plantar Melanoma in a Low-Income Country
المؤلفون المشاركون
Somé, Ollo Roland
Diallo, Malick
Konkobo, Damien
Yabré, Nassirou
Konségré, Valentin
Konaté, Issouf
Ka, Sidy
المصدر
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-12-12
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Background.
Advanced stages of plantar acral lentiginous melanoma are common in Africa.
Inguinal lymph node dissection (ILND) in these cases plays a critical role in disease-free and overall survival.
Our study aims to share our experience in ILND for advanced plantar melanomas.
Methods and Study Design.
Four-year prospective study.
Patients.
We included all documented cases of advanced stage plantar melanoma with clinically detectable inguinal lymph node metastasis.
Twenty-two of 27 patients identified—with mean age 56 years—underwent ILND.
Studied Variables.
Tumor patterns and stage, surgery, morbidity, oncologic pathology, and evolution were studied.
Statistical software assessed the overall survival (OS).
Results.
Plantar lesions were all excised with a cancer-free margin (3 cm).
ILND was performed for 22 patients with visible (n = 11), palpable (n = 7), and ulcerous (n = 4) lymphadenopathies.
It was performed through an S-shaped (n = 11) or ellipse-shaped skin incision (n = 11).
The tumors were AJCC stage III (n = 18) and IV (n = 2).
We found high Breslow index tumor thickness (>3 mm) and an advanced Clark IV stage (n = 20).
All operative wounds healed within 46 days (21–90).
Wound healing was delayed by suture failure (n = 16), lymphorrhoea (n = 22), and infection (n = 18).
After 29 months, three patients had complete remissions, seven had recurrences, and twelve patients had died.
The overall survival (OS) at one year was 56%.
In two patients with AJCC stage III disease, the OS was better (22 months).
Conclusion.
In low-income countries, ILND in advanced stages of plantar foot melanoma is a valuable surgical treatment option.
Alongside ILND adjuvants, treatment must be available and accessible to improve survival.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Somé, Ollo Roland& Diallo, Malick& Konkobo, Damien& Yabré, Nassirou& Konségré, Valentin& Konaté, Issouf…[et al.]. 2020. Inguinal Lymph Node Dissection for Advanced Stages of Plantar Melanoma in a Low-Income Country. Journal of Skin Cancer،Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1190745
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Somé, Ollo Roland…[et al.]. Inguinal Lymph Node Dissection for Advanced Stages of Plantar Melanoma in a Low-Income Country. Journal of Skin Cancer No. 2020 (2020), pp.1-8.
https://search.emarefa.net/detail/BIM-1190745
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Somé, Ollo Roland& Diallo, Malick& Konkobo, Damien& Yabré, Nassirou& Konségré, Valentin& Konaté, Issouf…[et al.]. Inguinal Lymph Node Dissection for Advanced Stages of Plantar Melanoma in a Low-Income Country. Journal of Skin Cancer. 2020. Vol. 2020, no. 2020, pp.1-8.
https://search.emarefa.net/detail/BIM-1190745
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1190745
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر