Pitfalls in Cutaneous Melanoma Lymphatic Drainage

Sentinel node (SN) biopsy has become standard in staging of cutaneous melanoma. As skin lymphatic drainage is complex, preoperative empirical assessment of SN localization is virtually impossible. Therefore in order to identify all regional lymphatic basins corresponding to a specific primary tumor...

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Published inChirurgia (Bucharest, Romania : 1990) Vol. 111; no. 1; pp. 87 - 89
Main Authors Voinea, Silviu, Sandru, Angela, Gherghe, Mirela
Format Journal Article
LanguageEnglish
Published Romania 01.01.2016
Subjects
Aged
Biopsy
Humans
Lymphatic Vessels - diagnostic imaging
Lymphoscintigraphy - methods
Male
Melanoma - diagnostic imaging
Melanoma - pathology
Melanoma - surgery
Melanoma, Cutaneous Malignant
Neoplasm Staging
Predictive Value of Tests
Preoperative Care
Prognosis
Radiopharmaceuticals
Sensitivity and Specificity
Sentinel Lymph Node Biopsy
Skin Neoplasms - diagnostic imaging
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Thoracic Wall - diagnostic imaging
Thoracic Wall - pathology
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Summary:Sentinel node (SN) biopsy has become standard in staging of cutaneous melanoma. As skin lymphatic drainage is complex, preoperative empirical assessment of SN localization is virtually impossible. Therefore in order to identify all regional lymphatic basins corresponding to a specific primary tumor is mandatory to carry out preoperative lymphoscintigraphy. In this paper we present a clinical case that highlights the importance of identifying, biopsy and histological analysis of all SN in order to achieve a correct staging of the patient, followed by appropriate treatment according to the real clinical stage of the disease.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
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ISSN:1221-9118