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Sentinel lymph node biopsy following a rotational flap.

Publication ,  Journal Article
Brys, AK; Schneider, MM; Selim, MA; Mosca, PJ
Published in: BMJ Case Rep
July 14, 2015

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.

Duke Scholars

Published In

BMJ Case Rep

DOI

EISSN

1757-790X

Publication Date

July 14, 2015

Volume

2015

Location

England

Related Subject Headings

  • Surgical Flaps
  • Skin Neoplasms
  • Sentinel Lymph Node Biopsy
  • Pelvic Neoplasms
  • Melanoma
  • Lymphoma
  • Lymphatic Metastasis
  • Lymph Nodes
  • Lymph Node Excision
  • Humans
 

Citation

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Brys, A. K., Schneider, M. M., Selim, M. A., & Mosca, P. J. (2015). Sentinel lymph node biopsy following a rotational flap. BMJ Case Rep, 2015. https://doi.org/10.1136/bcr-2015-210762
Brys, Adam K., Michelle M. Schneider, M Angelica Selim, and Paul J. Mosca. “Sentinel lymph node biopsy following a rotational flap.BMJ Case Rep 2015 (July 14, 2015). https://doi.org/10.1136/bcr-2015-210762.
Brys AK, Schneider MM, Selim MA, Mosca PJ. Sentinel lymph node biopsy following a rotational flap. BMJ Case Rep. 2015 Jul 14;2015.
Brys, Adam K., et al. “Sentinel lymph node biopsy following a rotational flap.BMJ Case Rep, vol. 2015, July 2015. Pubmed, doi:10.1136/bcr-2015-210762.
Brys AK, Schneider MM, Selim MA, Mosca PJ. Sentinel lymph node biopsy following a rotational flap. BMJ Case Rep. 2015 Jul 14;2015.

Published In

BMJ Case Rep

DOI

EISSN

1757-790X

Publication Date

July 14, 2015

Volume

2015

Location

England

Related Subject Headings

  • Surgical Flaps
  • Skin Neoplasms
  • Sentinel Lymph Node Biopsy
  • Pelvic Neoplasms
  • Melanoma
  • Lymphoma
  • Lymphatic Metastasis
  • Lymph Nodes
  • Lymph Node Excision
  • Humans