Inguinal Lymph Node Dissection for Advanced Stages of Plantar Melanoma in a Low-Income Country

Joint Authors

Somé, Ollo Roland
Diallo, Malick
Konkobo, Damien
Yabré, Nassirou
Konségré, Valentin
Konaté, Issouf
Ka, Sidy

Source

Journal of Skin Cancer

Issue

Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-8, 8 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2020-12-12

Country of Publication

Egypt

No. of Pages

8

Main Subjects

Diseases
Medicine

Abstract 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.

American Psychological Association (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

Modern Language Association (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

American Medical Association (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

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1190745