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Related Experiment Videos

Axillary node dissection in malignant melanoma: results and complications.

C P Karakousis1, M A Hena, L J Emrich

  • 1Department of Surgical Oncology, New York State Department of Health, Roswell Park Memorial Institute, Buffalo 14263-0002.

Surgery
|July 1, 1990
PubMed
Summary

Axillary node dissection for malignant melanoma showed low complication rates. Permanent arm swelling was not observed, distinguishing it from mastectomy-related procedures.

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Area of Science:

  • Surgical Oncology
  • Dermatology
  • Clinical Research

Background:

  • Malignant melanoma treatment often involves axillary node dissection to assess nodal status.
  • Understanding the morbidity associated with axillary node dissection is crucial for patient management.
  • Previous studies suggest potential long-term complications like lymphedema after axillary procedures.

Purpose of the Study:

  • To evaluate the short-term complication rates following axillary node dissection in patients with malignant melanoma.
  • To assess the incidence of specific complications such as lymphocele, wound infection, and nerve injury.
  • To compare the long-term outcomes, particularly permanent arm edema, with those reported after mastectomy.

Main Methods:

  • Retrospective analysis of 133 patients undergoing axillary node dissection for malignant melanoma.

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  • Detailed recording of intraoperative and postoperative complications.
  • Histopathological examination of resected lymph nodes to determine disease status.

    • Main Results:

    • 66 patients had positive nodes, and 67 had negative nodes.
    • Low rates of lymphocele (7%), wound infection (5%), and skin edge necrosis (0.8%) were observed.
    • Transient neurapraxia (2%) and transient arm edema (4%) occurred but resolved completely; no permanent edema was noted.

    Conclusions:

    • Axillary node dissection for malignant melanoma is associated with a manageable short-term complication profile.
    • The procedure, as performed in this study, does not lead to permanent arm edema.
    • Outcomes suggest axillary node dissection for melanoma is distinct from mastectomy-associated axillary dissection regarding long-term edema.