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Single-port Non-liposuction Endoscopic Axillary Lymph Node Dissection in Breast Cancer Surgery

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Mid-arm lymph nodes dissection for melanoma.

Masao Fujiwara¹, Ayano Suzuki, Takahide Mizukami

¹Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Handayama 1-20-1, Shizuoka 431-3192, Japan. masaofuj@mth.biglobe.ne.jp

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS

|March 16, 2010

Summary

This summary is machine-generated.

A newly identified mid-arm lymph node

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Area of Science:

Anatomy
Surgical Anatomy
Melanoma Metastasis

Background:

The surgical anatomy of the recently identified mid-arm lymph node remains unclear.
Understanding lymphatic drainage patterns is crucial for accurate cancer staging and treatment.

Observation:

This report details a case of metastatic melanoma involving the mid-arm node and epitrochlear node.
The patient had a history of forearm primary melanoma and prior axillary lymph node dissection.

Findings:

The mid-arm node is situated on the medial intermuscular septum, midway up the upper arm.
It is anatomically adjacent to the brachial vessels, median nerve, ulnar nerve, and basilic vein.
This anatomical proximity highlights potential surgical considerations and lymphatic pathways.

Implications:

This case provides the first description of the surgical anatomy of the mid-arm node.
Clarifying the location and lymphatic connections of this node is vital for oncologic surgery.
Further research into upper limb lymphatic drainage is warranted.