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Sentinel lymph node biopsy following a rotational flap.
Brys, Adam K; Schneider, Michelle M; Selim, M Angelica; Mosca, Paul J.
Afiliación
  • Brys AK; Duke University School of Medicine, Durham, North Carolina, USA.
  • Schneider MM; Department of Pathology, Duke University Medical Center, Durham, North Carolina, USA.
  • Selim MA; Department of Pathology, Duke University Medical Center, Durham, North Carolina, USA.
  • Mosca PJ; Department of Surgery, Advanced Oncologic and GI Surgery, Duke University Medical Center, Durham, North Carolina, USA.
BMJ Case Rep ; 20152015 Jul 14.
Article en En | MEDLINE | ID: mdl-26174732
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.
Asunto(s)

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Neoplasias Pélvicas / Neoplasias Cutáneas / Colgajos Quirúrgicos / Ganglios Linfáticos / Linfoma / Melanoma Límite: Aged / Female / Humans Idioma: En Revista: BMJ Case Rep Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Neoplasias Pélvicas / Neoplasias Cutáneas / Colgajos Quirúrgicos / Ganglios Linfáticos / Linfoma / Melanoma Límite: Aged / Female / Humans Idioma: En Revista: BMJ Case Rep Año: 2015 Tipo del documento: Article País de afiliación: Estados Unidos