Sentinel lymph node biopsy following a rotational flap
Identifieur interne : 001847 ( Main/Exploration ); précédent : 001846; suivant : 001848Sentinel lymph node biopsy following a rotational flap
Auteurs : Adam K. Brys [États-Unis] ; Michelle M. Schneider [États-Unis] ; M Angelica Selim [États-Unis] ; Paul J. Mosca [États-Unis]Source :
- BMJ Case Reports [ 1757-790X ] ; 2015.
Abstract
Sentinel lymph node biopsy (SLNB) is a critical component of melanoma management. Extensive prior surgery at the site of a primary melanoma is considered a relative contraindication for SLNB. While evidence suggests that SLNB may be performed accurately even in those patients who have undergone prior wide local excision, it is less clear whether patients who have undergone more extensive surgical procedures, particularly flap reconstructions, can benefit from this procedure. We report a case of a patient who had undergone surgical removal of a primary melanoma and subsequent reconstruction with a rotational flap in whom a SLNB was performed successfully, which revealed nodal metastasis, suggesting that SLNB may remain an appropriate option in carefully selected patients who have previously undergone extensive surgery at site of primary disease.
Url:
DOI: 10.1136/bcr-2015-210762
PubMed: 26174732
PubMed Central: 4513588
Affiliations:
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Schneider</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Pathology</addr-line>,<institution>Duke University Medical Center</institution>,<addr-line>Durham, North Carolina</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Selim, M Angelica" sort="Selim, M Angelica" uniqKey="Selim M" first="M Angelica" last="Selim">M Angelica Selim</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Pathology</addr-line>,<institution>Duke University Medical Center</institution>,<addr-line>Durham, North Carolina</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Mosca, Paul J" sort="Mosca, Paul J" uniqKey="Mosca P" first="Paul J" last="Mosca">Paul J. Mosca</name><affiliation wicri:level="1"><nlm:aff id="af3"><addr-line>Department of Surgery, Advanced Oncologic and GI Surgery</addr-line>,<institution>Duke University Medical Center</institution>,<addr-line>Durham, North Carolina</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Case Reports</title><idno type="eISSN">1757-790X</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Sentinel lymph node biopsy (SLNB) is a critical component of melanoma management. Extensive prior surgery at the site of a primary melanoma is considered a relative contraindication for SLNB. While evidence suggests that SLNB may be performed accurately even in those patients who have undergone prior wide local excision, it is less clear whether patients who have undergone more extensive surgical procedures, particularly flap reconstructions, can benefit from this procedure. We report a case of a patient who had undergone surgical removal of a primary melanoma and subsequent reconstruction with a rotational flap in whom a SLNB was performed successfully, which revealed nodal metastasis, suggesting that SLNB may remain an appropriate option in carefully selected patients who have previously undergone extensive surgery at site of primary disease.</p></div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><country name="États-Unis"><noRegion><name sortKey="Brys, Adam K" sort="Brys, Adam K" uniqKey="Brys A" first="Adam K" last="Brys">Adam K. Brys</name></noRegion><name sortKey="Mosca, Paul J" sort="Mosca, Paul J" uniqKey="Mosca P" first="Paul J" last="Mosca">Paul J. Mosca</name><name sortKey="Schneider, Michelle M" sort="Schneider, Michelle M" uniqKey="Schneider M" first="Michelle M" last="Schneider">Michelle M. Schneider</name><name sortKey="Selim, M Angelica" sort="Selim, M Angelica" uniqKey="Selim M" first="M Angelica" last="Selim">M Angelica Selim</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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