Sentinel lymph node biopsy following a rotational flap.

Journal Article (Journal Article)

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.

Full Text

Duke Authors

Cited Authors

  • Brys, AK; Schneider, MM; Selim, MA; Mosca, PJ

Published Date

  • July 14, 2015

Published In

Volume / Issue

  • 2015 /

PubMed ID

  • 26174732

Pubmed Central ID

  • PMC4513588

Electronic International Standard Serial Number (EISSN)

  • 1757-790X

Digital Object Identifier (DOI)

  • 10.1136/bcr-2015-210762


  • eng

Conference Location

  • England