The Value of Sentinel Lymph Node Biopsy in the Setting of Borderline Melanocytic Proliferations
Identifieur interne : 008106 ( Main/Exploration ); précédent : 008105; suivant : 008107The Value of Sentinel Lymph Node Biopsy in the Setting of Borderline Melanocytic Proliferations
Auteurs : K. Gupta ; K. Seilstad ; M. Walker ; A. N. Crowson [États-Unis] ; Mc. Mihm Jr ; C. MagroSource :
- Journal of Cutaneous Pathology [ 0303-6987 ] ; 2005-01.
Abstract
The spectrum of melanocytic proliferations ranges from banal to overtly malignant. Borderline melanocytic lesions which bridge these two extremes pose a challenge, as their biological nature remains undefined. We set out to evaluate the utility of the sentinel lymph node biopsy in such lesions. Our compendium was defined by 11 cases of borderline melanocytic proliferations whereby sentinel node sampling was conducted. There were three severely atypical dermal‐epidermal melanocytic proliferations manifesting borderline features with nevoid melanoma (calf, shoulder, knee), three arising in association with a deep penetrating nevus (chest, shoulder, and arm), three atypical Spitz’s tumors (helix, calf, arm, back), and two atypical pigment‐synthesizing melanocytic tumors, resembling equine melanotic disease in one and cellular blue nevus in another (buttock, calf, arm). The patient population comprised seven males and five females ranging in age from age 9–36 (mean: 25 years). At least one positive sentinel lymph node was uncovered in seven of the cases with a positive sentinel lymph observed in all but one case of deep penetrating nevus and atypical Spitz’s tumor. The identification of sentinel lymph node positivity in seven of the twelve cases (58%) validates the role of sentinel lymph node biopsy in the setting of borderline melanocytic proliferations.
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DOI: 10.1111/j.0303-6987.2005.320ck.x
Affiliations:
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<front><div type="abstract" xml:lang="en">The spectrum of melanocytic proliferations ranges from banal to overtly malignant. Borderline melanocytic lesions which bridge these two extremes pose a challenge, as their biological nature remains undefined. We set out to evaluate the utility of the sentinel lymph node biopsy in such lesions. Our compendium was defined by 11 cases of borderline melanocytic proliferations whereby sentinel node sampling was conducted. There were three severely atypical dermal‐epidermal melanocytic proliferations manifesting borderline features with nevoid melanoma (calf, shoulder, knee), three arising in association with a deep penetrating nevus (chest, shoulder, and arm), three atypical Spitz’s tumors (helix, calf, arm, back), and two atypical pigment‐synthesizing melanocytic tumors, resembling equine melanotic disease in one and cellular blue nevus in another (buttock, calf, arm). The patient population comprised seven males and five females ranging in age from age 9–36 (mean: 25 years). At least one positive sentinel lymph node was uncovered in seven of the cases with a positive sentinel lymph observed in all but one case of deep penetrating nevus and atypical Spitz’s tumor. The identification of sentinel lymph node positivity in seven of the twelve cases (58%) validates the role of sentinel lymph node biopsy in the setting of borderline melanocytic proliferations.</div>
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