[Lymphogenous metastasis of squamous cell cancer of the skin of the limbs and their surgical treatment]. / Limfogennye metastazy ploskokletochnogo raka kozhi konechnostei i ikh khirurgicheskoe lechenie.

ABSTRACT

The article analyses the specific features of lymphogenous metastasis of squamous cell carcinoma of the skin of the extremities and the surgical treatment of 189 patients. Lymphogenous metastases occur in each fourth patient with II-IV stage skin carcinoma. Carcinoma of the skin of the fingers and groin is distinguished by a marked tendency to lymphogenous metastasis. It is pointed out that the clinical diagnosis of carcinoma metastasis to a lymph node must be verified cytologically because enlargement of the node is often due to a reactive inflammatory hyperplasia of the lymphoid tissue. The specific features of surgical intervention in the zones of regional lymphogenous metastasis are noted. Metastasis of carcinoma into the inguinal lymph nodes must be managed by ilioinguinal lymphadenectomy.