Acute Truncal Lymphedema Secondary to Axillary Metastatic Melanoma Presenting Like Cellulitis
Joint Authors
Fernandez-Peñas, Pablo
Hwang, Shelley J. E.
Kong, Benjamin Y.
Chou, Shaun
Wakade, Deepal
Carlino, Matteo S.
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-15
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
There are reported cases of diphencyprone used in treating cutaneous metastases of melanoma.
Here, we report a patient with previous primary melanoma on his left back treated with surgical excision and lymphadenectomy, followed by radiotherapy for the recurrent tumor on the primary site.
Despite radiotherapy and treatment with dabrafenib and trametinib, in-transit metastases have developed and topical diphencyprone was applied to these metastases.
Six weeks later, the patient developed fever and a spreading erythematous tender indurated plaque covering the left side of the body including axillae, back, and flank, clinically suggestive of cellulitis.
Systemic antibiotic therapy did not improve the condition and a biopsy showed sparse lymphocytic infiltrate.
With the diagnosis of possible acute lymphedema, a CT scan was requested that showed significant axillary lymph node metastasis.
The fever was considered secondary to dabrafenib and trametinib therapy.
This case highlights that, in patients with lymphadenectomy, atypical forms of lymphedema on the body may appear.
Truncal lymphedema is an infrequent event.
American Psychological Association (APA)
Hwang, Shelley J. E.& Kong, Benjamin Y.& Chou, Shaun& Wakade, Deepal& Carlino, Matteo S.& Fernandez-Peñas, Pablo. 2017. Acute Truncal Lymphedema Secondary to Axillary Metastatic Melanoma Presenting Like Cellulitis. Case Reports in Medicine،Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146786
Modern Language Association (MLA)
Hwang, Shelley J. E.…[et al.]. Acute Truncal Lymphedema Secondary to Axillary Metastatic Melanoma Presenting Like Cellulitis. Case Reports in Medicine No. 2017 (2017), pp.1-3.
https://search.emarefa.net/detail/BIM-1146786
American Medical Association (AMA)
Hwang, Shelley J. E.& Kong, Benjamin Y.& Chou, Shaun& Wakade, Deepal& Carlino, Matteo S.& Fernandez-Peñas, Pablo. Acute Truncal Lymphedema Secondary to Axillary Metastatic Melanoma Presenting Like Cellulitis. Case Reports in Medicine. 2017. Vol. 2017, no. 2017, pp.1-3.
https://search.emarefa.net/detail/BIM-1146786
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146786