Resection in the popliteal fossa for metastatic melanoma
Identifieur interne : 007123 ( Main/Exploration ); précédent : 007122; suivant : 007124Resection in the popliteal fossa for metastatic melanoma
Auteurs : Ugo Marone [Italie] ; Corrado Carac [Italie] ; Maria Grazia Chiofalo [Italie] ; Gerardo Botti [Italie] ; Nicola Mozzillo [Italie]Source :
- World Journal of Surgical Oncology [ 1477-7819 ] ; 2007.
Abstract
Traditionally metastatic melanoma of the distal leg and the foot metastasize to the lymph nodes of the groin. Sometimes the first site of nodal disease can be the popliteal fossa. This is an infrequent event, with rare reports in literature and when it occurs, radical popliteal node dissection must be performed.
We report a case of a 36-year old man presented with diagnosis of 2 mm thick, Clark's level II-III, non ulcerated melanoma of the left heel, which developed during the course of the disease popliteal node metastases, after a superficial and deep groin dissection for inguinal node involvement. Five months after popliteal lymph node dissection he developed systemic disease, therefore he received nine cycles of dacarbazine plus fotemustine. To date (56 months after prior surgery and 11 months after chemotherapy) he is alive with no evidence of disease.
In case of groin metastases from melanoma of distal lower extremities, clinical and ultrasound examination of ipsilateral popliteal fossa is essential. When metastatic disease is found, radical popliteal dissection is the standard of care. Therefore knowledge of anatomy and surgical technique about popliteal lymphadenectomy are required to make preservation of structures that if injured, can produce a permanent, considerable disability.
Url:
DOI: 10.1186/1477-7819-5-8
PubMed: 17239242
PubMed Central: 1784092
Affiliations:
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Marone</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Oncology "B", National Cancer Institute of Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Oncology "B", National Cancer Institute of Naples</wicri:regionArea><wicri:noRegion>National Cancer Institute of Naples</wicri:noRegion></affiliation></author><author><name sortKey="Carac, Corrado" sort="Carac, Corrado" uniqKey="Carac C" first="Corrado" last="Carac">Corrado Carac</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Oncology "B", National Cancer Institute of Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Oncology "B", National Cancer Institute of Naples</wicri:regionArea><wicri:noRegion>National Cancer Institute of Naples</wicri:noRegion></affiliation></author><author><name sortKey="Chiofalo, Maria Grazia" sort="Chiofalo, Maria Grazia" uniqKey="Chiofalo M" first="Maria Grazia" last="Chiofalo">Maria Grazia Chiofalo</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Oncology "B", National Cancer Institute of Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Oncology "B", National Cancer Institute of Naples</wicri:regionArea><wicri:noRegion>National Cancer Institute of Naples</wicri:noRegion></affiliation></author><author><name sortKey="Botti, Gerardo" sort="Botti, Gerardo" uniqKey="Botti G" first="Gerardo" last="Botti">Gerardo Botti</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Pathology, National Cancer Institute of Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Pathology, National Cancer Institute of Naples</wicri:regionArea><wicri:noRegion>National Cancer Institute of Naples</wicri:noRegion></affiliation></author><author><name sortKey="Mozzillo, Nicola" sort="Mozzillo, Nicola" uniqKey="Mozzillo N" first="Nicola" last="Mozzillo">Nicola Mozzillo</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Surgical Oncology "B", National Cancer Institute of Naples, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Surgical Oncology "B", National Cancer Institute of Naples</wicri:regionArea><wicri:noRegion>National Cancer Institute of Naples</wicri:noRegion></affiliation></author></analytic><series><title level="j">World Journal of Surgical Oncology</title><idno type="eISSN">1477-7819</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Traditionally metastatic melanoma of the distal leg and the foot metastasize to the lymph nodes of the groin. Sometimes the first site of nodal disease can be the popliteal fossa. This is an infrequent event, with rare reports in literature and when it occurs, radical popliteal node dissection must be performed.</p></sec><sec><title>Case presentation</title><p>We report a case of a 36-year old man presented with diagnosis of 2 mm thick, Clark's level II-III, non ulcerated melanoma of the left heel, which developed during the course of the disease popliteal node metastases, after a superficial and deep groin dissection for inguinal node involvement. Five months after popliteal lymph node dissection he developed systemic disease, therefore he received nine cycles of dacarbazine plus fotemustine. To date (56 months after prior surgery and 11 months after chemotherapy) he is alive with no evidence of disease.</p></sec><sec><title>Conclusion</title><p>In case of groin metastases from melanoma of distal lower extremities, clinical and ultrasound examination of ipsilateral popliteal fossa is essential. When metastatic disease is found, radical popliteal dissection is the standard of care. Therefore knowledge of anatomy and surgical technique about popliteal lymphadenectomy are required to make preservation of structures that if injured, can produce a permanent, considerable disability.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Marone, Ugo" sort="Marone, Ugo" uniqKey="Marone U" first="Ugo" last="Marone">Ugo Marone</name></noRegion><name sortKey="Botti, Gerardo" sort="Botti, Gerardo" uniqKey="Botti G" first="Gerardo" last="Botti">Gerardo Botti</name><name sortKey="Carac, Corrado" sort="Carac, Corrado" uniqKey="Carac C" first="Corrado" last="Carac">Corrado Carac</name><name sortKey="Chiofalo, Maria Grazia" sort="Chiofalo, Maria Grazia" uniqKey="Chiofalo M" first="Maria Grazia" last="Chiofalo">Maria Grazia Chiofalo</name><name sortKey="Mozzillo, Nicola" sort="Mozzillo, Nicola" uniqKey="Mozzillo N" first="Nicola" last="Mozzillo">Nicola Mozzillo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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