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A giant metastatic inguinal lymph node from melanoma
N Bertheuil1, J L Heusse1, L Khamphommala2
1Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospital Sud, 16 Boulevard de Bulgarie, 35200 Rennes, France.
The Indian Journal of Surgery
|January 16, 2014
Summary
A patient with advanced melanoma developed a large inguinal mass. Surgical removal and flap reconstruction were successful, with the patient surviving for fourteen months post-operation.
Area of Science:
- Oncology
- Surgical Oncology
- Dermatopathology
Background:
- Nodular melanoma is an aggressive form of skin cancer.
- Metastasis to the inguinal lymph nodes presents a significant clinical challenge.
- Giant, necrotizing ulcerative masses indicate advanced disease progression.
Purpose of the Study:
- To report a case of extensive melanoma metastasis to the inguinal region.
- To describe the surgical management of a giant necrotizing ulcerative inguinal mass secondary to melanoma.
- To highlight the long-term outcome following aggressive surgical intervention.
Main Methods:
- A 49-year-old female patient with a history of high-risk melanoma (Breslow thickness 10 mm, Clark level 4) presented with a large (17x11 cm) necrotizing inguinal mass.
- Emergency ilioinguinal dissection was performed.
- Secondary wound closure was achieved using a Taylor flap 15 days post-dissection.
Main Results:
- Pathological examination confirmed metastatic melanoma in the inguinal mass.
- The patient tolerated the surgical procedures well.
- The patient remained alive and disease-free at fourteen months follow-up.
Conclusions:
- Aggressive surgical management, including dissection and flap reconstruction, can be effective for extensive melanoma metastasis.
- Prompt intervention for large, ulcerative metastatic lesions is crucial for patient outcomes.
- This case demonstrates the possibility of long-term survival following treatment for advanced melanoma metastasis.
