Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision
Identifieur interne : 000138 ( Pmc/Curation ); précédent : 000137; suivant : 000139Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision
Auteurs : Fabio Nicoli [Taïwan, Italie] ; Pedro Ciudad [Taïwan] ; Seong Yoon Lim [Taïwan] ; Davide Lazzeri [Italie] ; Christopher D'Ambrosia [Taïwan] ; Kidakorn Kiranantawat [Taïwan, Thaïlande] ; Ram M. Chilgar [Taïwan] ; Stamatis Sapountzis [Taïwan] ; Bulent Sacak [Taïwan] ; Hung-Chi Chen [Taïwan]Source :
- Archives of Plastic Surgery [ 2234-6163 ] ; 2015.
Abstract
Due to the fact that it reliably results in positive outcomes, lymph node flap transfer is becoming an increasingly popular surgical procedure for the prevention and treatment of lymphedema. This technique has been shown to stimulate lymphoangiogenesis and restore lymphatic function, as well as decreasing infection rates, minimizing pain, and preventing the recurrence of lymphedema. In this article, we investigate possible additional benefits of lymph node flap transfer, primarily the possibility that sentinel lymph nodes may be used to detect micro-metastasis or in-transit metastasis and may function as an additional lymphatic station after the excision of advanced skin cancer.
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DOI: 10.5999/aps.2015.42.4.478
PubMed: 26217570
PubMed Central: 4513058
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision</title><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Roma, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Roma</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Seong Yoon" sort="Lim, Seong Yoon" uniqKey="Lim S" first="Seong Yoon" last="Lim">Seong Yoon Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Lazzeri, Davide" sort="Lazzeri, Davide" uniqKey="Lazzeri D" first="Davide" last="Lazzeri">Davide Lazzeri</name><affiliation wicri:level="1"><nlm:aff id="A3">Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome</wicri:regionArea></affiliation></author><author><name sortKey="D Ambrosia, Christopher" sort="D Ambrosia, Christopher" uniqKey="D Ambrosia C" first="Christopher" last="D'Ambrosia">Christopher D'Ambrosia</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Kiranantawat, Kidakorn" sort="Kiranantawat, Kidakorn" uniqKey="Kiranantawat K" first="Kidakorn" last="Kiranantawat">Kidakorn Kiranantawat</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Thaïlande</country><wicri:regionArea>Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok</wicri:regionArea></affiliation></author><author><name sortKey="Chilgar, Ram M" sort="Chilgar, Ram M" uniqKey="Chilgar R" first="Ram M" last="Chilgar">Ram M. Chilgar</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Sapountzis, Stamatis" sort="Sapountzis, Stamatis" uniqKey="Sapountzis S" first="Stamatis" last="Sapountzis">Stamatis Sapountzis</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Sacak, Bulent" sort="Sacak, Bulent" uniqKey="Sacak B" first="Bulent" last="Sacak">Bulent Sacak</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26217570</idno><idno type="pmc">4513058</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4513058</idno><idno type="RBID">PMC:4513058</idno><idno type="doi">10.5999/aps.2015.42.4.478</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000138</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000138</idno><idno type="wicri:Area/Pmc/Curation">000138</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000138</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision</title><author><name sortKey="Nicoli, Fabio" sort="Nicoli, Fabio" uniqKey="Nicoli F" first="Fabio" last="Nicoli">Fabio Nicoli</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Roma, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Roma</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A3">Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome</wicri:regionArea></affiliation></author><author><name sortKey="Ciudad, Pedro" sort="Ciudad, Pedro" uniqKey="Ciudad P" first="Pedro" last="Ciudad">Pedro Ciudad</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Seong Yoon" sort="Lim, Seong Yoon" uniqKey="Lim S" first="Seong Yoon" last="Lim">Seong Yoon Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Lazzeri, Davide" sort="Lazzeri, Davide" uniqKey="Lazzeri D" first="Davide" last="Lazzeri">Davide Lazzeri</name><affiliation wicri:level="1"><nlm:aff id="A3">Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Italie</country><wicri:regionArea>Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome</wicri:regionArea></affiliation></author><author><name sortKey="D Ambrosia, Christopher" sort="D Ambrosia, Christopher" uniqKey="D Ambrosia C" first="Christopher" last="D'Ambrosia">Christopher D'Ambrosia</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Kiranantawat, Kidakorn" sort="Kiranantawat, Kidakorn" uniqKey="Kiranantawat K" first="Kidakorn" last="Kiranantawat">Kidakorn Kiranantawat</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A4">Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Thaïlande</country><wicri:regionArea>Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok</wicri:regionArea></affiliation></author><author><name sortKey="Chilgar, Ram M" sort="Chilgar, Ram M" uniqKey="Chilgar R" first="Ram M" last="Chilgar">Ram M. Chilgar</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Sapountzis, Stamatis" sort="Sapountzis, Stamatis" uniqKey="Sapountzis S" first="Stamatis" last="Sapountzis">Stamatis Sapountzis</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Sacak, Bulent" sort="Sacak, Bulent" uniqKey="Sacak B" first="Bulent" last="Sacak">Bulent Sacak</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author><author><name sortKey="Chen, Hung Chi" sort="Chen, Hung Chi" uniqKey="Chen H" first="Hung-Chi" last="Chen">Hung-Chi Chen</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Taïwan</country><wicri:regionArea>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung</wicri:regionArea></affiliation></author></analytic><series><title level="j">Archives of Plastic Surgery</title><idno type="ISSN">2234-6163</idno><idno type="eISSN">2234-6171</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>Due to the fact that it reliably results in positive outcomes, lymph node flap transfer is becoming an increasingly popular surgical procedure for the prevention and treatment of lymphedema. This technique has been shown to stimulate lymphoangiogenesis and restore lymphatic function, as well as decreasing infection rates, minimizing pain, and preventing the recurrence of lymphedema. In this article, we investigate possible additional benefits of lymph node flap transfer, primarily the possibility that sentinel lymph nodes may be used to detect micro-metastasis or in-transit metastasis and may function as an additional lymphatic station after the excision of advanced skin cancer.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Becker, C" uniqKey="Becker C">C Becker</name></author><author><name sortKey="Assouad, J" uniqKey="Assouad J">J Assouad</name></author><author><name sortKey="Riquet, M" uniqKey="Riquet M">M Riquet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sapountzis, S" uniqKey="Sapountzis S">S Sapountzis</name></author><author><name sortKey="Nicoli, F" uniqKey="Nicoli F">F Nicoli</name></author><author><name sortKey="Chilgar, R" uniqKey="Chilgar R">R Chilgar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gharb, Bb" uniqKey="Gharb B">BB Gharb</name></author><author><name sortKey="Rampazzo, A" uniqKey="Rampazzo A">A Rampazzo</name></author><author><name sortKey="Spanio Di Spilimbergo, S" uniqKey="Spanio Di Spilimbergo S">S Spanio di Spilimbergo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Saaristo, Am" uniqKey="Saaristo A">AM Saaristo</name></author><author><name sortKey="Niemi, Ts" uniqKey="Niemi T">TS Niemi</name></author><author><name sortKey="Viitanen, Tp" uniqKey="Viitanen T">TP Viitanen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lin, Ch" uniqKey="Lin C">CH Lin</name></author><author><name sortKey="Ali, R" uniqKey="Ali R">R Ali</name></author><author><name sortKey="Chen, Sc" uniqKey="Chen S">SC Chen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Viitanen, Tp" uniqKey="Viitanen T">TP Viitanen</name></author><author><name sortKey="Visuri, Mt" uniqKey="Visuri M">MT Visuri</name></author><author><name sortKey="Hartiala, P" uniqKey="Hartiala P">P Hartiala</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yamamoto, T" uniqKey="Yamamoto T">T Yamamoto</name></author><author><name sortKey="Yamamoto, N" uniqKey="Yamamoto N">N Yamamoto</name></author><author><name sortKey="Yamashita, M" uniqKey="Yamashita M">M Yamashita</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Soran, A" uniqKey="Soran A">A Soran</name></author><author><name sortKey="Finegold, Dn" uniqKey="Finegold D">DN Finegold</name></author><author><name sortKey="Brufsky, A" uniqKey="Brufsky A">A Brufsky</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aladowicz, E" uniqKey="Aladowicz E">E Aladowicz</name></author><author><name sortKey="Ferro, L" uniqKey="Ferro L">L Ferro</name></author><author><name sortKey="Vitali, Gc" uniqKey="Vitali G">GC Vitali</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shesol, Bf" uniqKey="Shesol B">BF Shesol</name></author><author><name sortKey="Nakashima, R" uniqKey="Nakashima R">R Nakashima</name></author><author><name sortKey="Alavi, A" uniqKey="Alavi A">A Alavi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Clodius, L" uniqKey="Clodius L">L Clodius</name></author><author><name sortKey="Smith, Pj" uniqKey="Smith P">PJ Smith</name></author><author><name sortKey="Bruna, J" uniqKey="Bruna J">J Bruna</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Morton, Dl" uniqKey="Morton D">DL Morton</name></author><author><name sortKey="Thompson, Jf" uniqKey="Thompson J">JF Thompson</name></author><author><name sortKey="Cochran, Aj" uniqKey="Cochran A">AJ Cochran</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zbytek, B" uniqKey="Zbytek B">B Zbytek</name></author><author><name sortKey="Carlson, Ja" uniqKey="Carlson J">JA Carlson</name></author><author><name sortKey="Granese, J" uniqKey="Granese J">J Granese</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="brief-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Arch Plast Surg</journal-id><journal-id journal-id-type="iso-abbrev">Arch Plast Surg</journal-id><journal-id journal-id-type="publisher-id">APS</journal-id><journal-title-group><journal-title>Archives of Plastic Surgery</journal-title></journal-title-group><issn pub-type="ppub">2234-6163</issn><issn pub-type="epub">2234-6171</issn><publisher><publisher-name>The Korean Society of Plastic and Reconstructive Surgeons</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26217570</article-id><article-id pub-id-type="pmc">4513058</article-id><article-id pub-id-type="doi">10.5999/aps.2015.42.4.478</article-id><article-categories><subj-group subj-group-type="heading"><subject>Idea and Innovation</subject></subj-group></article-categories><title-group><article-title>Potential Use of Transferred Lymph Nodes as Metastasis Detectors after Tumor Excision</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nicoli</surname><given-names>Fabio</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A2">2</xref><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Ciudad</surname><given-names>Pedro</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lim</surname><given-names>Seong Yoon</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Lazzeri</surname><given-names>Davide</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>D'Ambrosia</surname><given-names>Christopher</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kiranantawat</surname><given-names>Kidakorn</given-names></name><xref ref-type="aff" rid="A1">1</xref><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Chilgar</surname><given-names>Ram M</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sapountzis</surname><given-names>Stamatis</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Sacak</surname><given-names>Bulent</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Chen</surname><given-names>Hung-Chi</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>Department of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.</aff><aff id="A2"><label>2</label>Department of Plastic and Reconstructive Surgery, University of Rome Tor Vergata, Roma, Italy.</aff><aff id="A3"><label>3</label>Plastic, Reconstructive, and Aesthetic Surgery, Villa Salaria Clinic, Rome, Italy.</aff><aff id="A4"><label>4</label>Department of Plastic and Maxillofacial Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.</aff><author-notes><corresp>Correspondence: Hung-Chi Chen. Department of Plastic and Reconstructive Surgery, China Medical University Hospital, 2 Yuh-Der Road, Taichung, 40447, R.O.C, Taiwan. Tel: +886-4-2205-2121 (1538), Fax: +886-4-2202-0038, <email>D19722@mail.cmuh.org.tw</email></corresp></author-notes><pub-date pub-type="ppub"><month>7</month><year>2015</year></pub-date><pub-date pub-type="epub"><day>14</day><month>7</month><year>2015</year></pub-date><volume>42</volume><issue>4</issue><fpage>478</fpage><lpage>483</lpage><history><date date-type="received"><day>04</day><month>1</month><year>2015</year></date><date date-type="rev-recd"><day>06</day><month>4</month><year>2015</year></date><date date-type="accepted"><day>07</day><month>4</month><year>2015</year></date></history><permissions><copyright-statement>Copyright © 2015 The Korean Society of Plastic and Reconstructive Surgeons</copyright-statement><copyright-year>2015</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Due to the fact that it reliably results in positive outcomes, lymph node flap transfer is becoming an increasingly popular surgical procedure for the prevention and treatment of lymphedema. This technique has been shown to stimulate lymphoangiogenesis and restore lymphatic function, as well as decreasing infection rates, minimizing pain, and preventing the recurrence of lymphedema. In this article, we investigate possible additional benefits of lymph node flap transfer, primarily the possibility that sentinel lymph nodes may be used to detect micro-metastasis or in-transit metastasis and may function as an additional lymphatic station after the excision of advanced skin cancer.</p></abstract><kwd-group><kwd>Lymph node</kwd><kwd>Free tissue flaps</kwd><kwd>Melanoma</kwd><kwd>Carcinogenesis</kwd><kwd>Lymphedema</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Fig. 1</label><caption><title>Preoperative photograph of patient 1</title><p>A 33-year-old male with an acral melanoma of the right thumb.</p></caption><graphic xlink:href="aps-42-478-g001"></graphic></fig><fig id="F2" orientation="portrait" position="float"><label>Fig. 2</label><caption><title>Radiologic examination of patient 1</title><p>Positron emission tomography/computed tomography confirmed the survival of the lymph node flap transfer and the absence of metastatic disease.</p></caption><graphic xlink:href="aps-42-478-g002"></graphic></fig><fig id="F3" orientation="portrait" position="float"><label>Fig. 3</label><caption><title>Postoperative photograph of patient 1</title><p>A follow-up nine months after the operation showed no metastatic fragments trapped in the flap.</p></caption><graphic xlink:href="aps-42-478-g003"></graphic></fig><fig id="F4" orientation="portrait" position="float"><label>Fig. 4</label><caption><title>Preoperative photograph of patient 2</title><p>A 53-year-old female with melanoma on the right sole of the foot.</p></caption><graphic xlink:href="aps-42-478-g004"></graphic></fig><fig id="F5" orientation="portrait" position="float"><label>Fig. 5</label><caption><title>Intraoperative photograph of patient 2</title><p>Reconstruction with a groin flap including the lymph nodes (LN).</p></caption><graphic xlink:href="aps-42-478-g005"></graphic></fig><fig id="F6" orientation="portrait" position="float"><label>Fig. 6</label><caption><title>Intraoperative photograph of patient 2</title><p>Vascularization and anastomosis of the groin lymph node flap.</p></caption><graphic xlink:href="aps-42-478-g006"></graphic></fig><fig id="F7" orientation="portrait" position="float"><label>Fig. 7</label><caption><title>Postoperative photograph of patient 2</title><p>A follow-up examination at seven months showed no recurrence and no metastatic disease.</p></caption><graphic xlink:href="aps-42-478-g007"></graphic></fig><fig id="F8" orientation="portrait" position="float"><label>Fig. 8</label><caption><title>A postoperative radiologic examination</title><p>(A) Contrast fluid was injected intracutaneously into the distal limb and an infrared camera system was used to obtain images of the superficial lymphatic flow. (B) The superficial lymphatic pattern indicates lymph flow into the transplanted lymph nodes.</p></caption><graphic xlink:href="aps-42-478-g008"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><title>Clinical data pertaining to the patients in this study</title></caption><graphic xlink:href="aps-42-478-i001"></graphic><table-wrap-foot><fn><p>LNFT, lymph node flap transfer; GLNF, groin lymph node flap; SLNF, supraclavicular lymph node flap; LN, lymph nodes; SCC, squamous cell carcinoma.</p></fn></table-wrap-foot></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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