Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment
We present a patient with malignant melanoma on his heel. Wide local excision was performed, along with sentinel lymph node biopsy of the inguinal and popliteal lesions. The primary site was clear of tumor at all margins; the inguinal nodes were negative, but the popliteal node was positive for meta...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Case Reports in Oncological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/259326 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832564710131630080 |
|---|---|
| author | Kentaro Tanaka Hiroki Mori Mutsumi Okazaki Aya Nishizawa Hiroo Yokozeki |
| author_facet | Kentaro Tanaka Hiroki Mori Mutsumi Okazaki Aya Nishizawa Hiroo Yokozeki |
| author_sort | Kentaro Tanaka |
| collection | DOAJ |
| description | We present a patient with malignant melanoma on his heel. Wide local excision was performed, along with sentinel lymph node biopsy of the inguinal and popliteal lesions. The primary site was clear of tumor at all margins; the inguinal nodes were negative, but the popliteal node was positive for metastatic melanoma. Only radical popliteal lymph node dissection was performed. The patient went on to receive adjuvant chemoimmunotherapy. There was no recurrence or complication until the long-term followup. Popliteal drainage from below the knee is uncommon, and the rate of popliteal-positive and inguinal-negative cases is estimated to be less than 1% of all melanomas. There is no established evidence about how to treat lymph nodes in these cases. Because we considered popliteal nodes as a regional, not interval, lymph node basin, only popliteal lymph node dissection was performed, and good postoperative course was achieved. The first site of drainage is the sentinel node, and the popliteal node can be a sentinel node. The inguinal node is not a sentinel node in all lower extremity melanomas. This case illustrates the importance of individual detailed investigation of lymphatic drainage patterns from foot to inguinal and popliteal nodes. |
| format | Article |
| id | doaj-art-c67414f7a8cf4316ad247c2fdd326465 |
| institution | Kabale University |
| issn | 2090-6706 2090-6714 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Oncological Medicine |
| spelling | doaj-art-c67414f7a8cf4316ad247c2fdd3264652025-02-03T01:10:31ZengWileyCase Reports in Oncological Medicine2090-67062090-67142013-01-01201310.1155/2013/259326259326Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical TreatmentKentaro Tanaka0Hiroki Mori1Mutsumi Okazaki2Aya Nishizawa3Hiroo Yokozeki4Department of Plastic and Reconstructive Surgery, Graduate School of Medical Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Plastic and Reconstructive Surgery, Graduate School of Medical Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Plastic and Reconstructive Surgery, Graduate School of Medical Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Dermatology, Graduate School of Medical Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanDepartment of Dermatology, Graduate School of Medical Sciences, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, JapanWe present a patient with malignant melanoma on his heel. Wide local excision was performed, along with sentinel lymph node biopsy of the inguinal and popliteal lesions. The primary site was clear of tumor at all margins; the inguinal nodes were negative, but the popliteal node was positive for metastatic melanoma. Only radical popliteal lymph node dissection was performed. The patient went on to receive adjuvant chemoimmunotherapy. There was no recurrence or complication until the long-term followup. Popliteal drainage from below the knee is uncommon, and the rate of popliteal-positive and inguinal-negative cases is estimated to be less than 1% of all melanomas. There is no established evidence about how to treat lymph nodes in these cases. Because we considered popliteal nodes as a regional, not interval, lymph node basin, only popliteal lymph node dissection was performed, and good postoperative course was achieved. The first site of drainage is the sentinel node, and the popliteal node can be a sentinel node. The inguinal node is not a sentinel node in all lower extremity melanomas. This case illustrates the importance of individual detailed investigation of lymphatic drainage patterns from foot to inguinal and popliteal nodes.http://dx.doi.org/10.1155/2013/259326 |
| spellingShingle | Kentaro Tanaka Hiroki Mori Mutsumi Okazaki Aya Nishizawa Hiroo Yokozeki Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment Case Reports in Oncological Medicine |
| title | Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment |
| title_full | Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment |
| title_fullStr | Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment |
| title_full_unstemmed | Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment |
| title_short | Long-Term Treatment Outcome after Only Popliteal Lymph Node Dissection for Nodal Metastasis in Malignant Melanoma of the Heel: The Only “Interval Node” Dissection Can Be an Adequate Surgical Treatment |
| title_sort | long term treatment outcome after only popliteal lymph node dissection for nodal metastasis in malignant melanoma of the heel the only interval node dissection can be an adequate surgical treatment |
| url | http://dx.doi.org/10.1155/2013/259326 |
| work_keys_str_mv | AT kentarotanaka longtermtreatmentoutcomeafteronlypopliteallymphnodedissectionfornodalmetastasisinmalignantmelanomaoftheheeltheonlyintervalnodedissectioncanbeanadequatesurgicaltreatment AT hirokimori longtermtreatmentoutcomeafteronlypopliteallymphnodedissectionfornodalmetastasisinmalignantmelanomaoftheheeltheonlyintervalnodedissectioncanbeanadequatesurgicaltreatment AT mutsumiokazaki longtermtreatmentoutcomeafteronlypopliteallymphnodedissectionfornodalmetastasisinmalignantmelanomaoftheheeltheonlyintervalnodedissectioncanbeanadequatesurgicaltreatment AT ayanishizawa longtermtreatmentoutcomeafteronlypopliteallymphnodedissectionfornodalmetastasisinmalignantmelanomaoftheheeltheonlyintervalnodedissectioncanbeanadequatesurgicaltreatment AT hirooyokozeki longtermtreatmentoutcomeafteronlypopliteallymphnodedissectionfornodalmetastasisinmalignantmelanomaoftheheeltheonlyintervalnodedissectioncanbeanadequatesurgicaltreatment |