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Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel : The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment
Joint Authors
Tanaka, Kentaro
Mori, Hiroki
Okazaki, Mutsumi
Nishizawa, Aya
Yokozeki, Hiroo
Source
Case Reports in Oncological Medicine
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-05-12
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We present a patient with malignant melanoma on his heel.
Wide local excision was performed, along with sentinel lymph node biopsy of the inguinal and popliteal lesions.
The primary site was clear of tumor at all margins; the inguinal nodes were negative, but the popliteal node was positive for metastatic melanoma.
Only radical popliteal lymph node dissection was performed.
The patient went on to receive adjuvant chemoimmunotherapy.
There was no recurrence or complication until the long-term followup.
Popliteal drainage from below the knee is uncommon, and the rate of popliteal-positive and inguinal-negative cases is estimated to be less than 1% of all melanomas.
There is no established evidence about how to treat lymph nodes in these cases.
Because we considered popliteal nodes as a regional, not interval, lymph node basin, only popliteal lymph node dissection was performed, and good postoperative course was achieved.
The first site of drainage is the sentinel node, and the popliteal node can be a sentinel node.
The inguinal node is not a sentinel node in all lower extremity melanomas.
This case illustrates the importance of individual detailed investigation of lymphatic drainage patterns from foot to inguinal and popliteal nodes.
American Psychological Association (APA)
Tanaka, Kentaro& Mori, Hiroki& Okazaki, Mutsumi& Nishizawa, Aya& Yokozeki, Hiroo. 2013. Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel : The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment. Case Reports in Oncological Medicine،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-458170
Modern Language Association (MLA)
Tanaka, Kentaro…[et al.]. Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel : The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment. Case Reports in Oncological Medicine No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-458170
American Medical Association (AMA)
Tanaka, Kentaro& Mori, Hiroki& Okazaki, Mutsumi& Nishizawa, Aya& Yokozeki, Hiroo. Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel : The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment. Case Reports in Oncological Medicine. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-458170
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-458170