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Laparoscopic pelvic lymph node dissection for malignant foot melanoma.
Sho Yamada1, Masanori Kotake1, Daiki Kakiuchi1
1Departments of Surgery, Kouseiren Takaoka Hospital, Toyama, Japan.
Asian Journal of Endoscopic Surgery
|June 15, 2017
Summary
Malignant melanoma can spread to pelvic lymph nodes. Laparoscopic surgery offers a minimally invasive approach for pelvic lymph node dissection in such cases, presenting a potentially valuable option for treating advanced melanoma.
Area of Science:
- Oncology
- Surgical Oncology
- Medical Imaging
Background:
- Malignant melanoma, a type of skin cancer, can metastasize to regional lymph nodes.
- Sentinel lymph node biopsy (SLNB) is a standard procedure for staging melanoma.
- Pelvic lymph node metastasis from foot melanoma is uncommon but serious.
Observation:
- A patient with malignant foot melanoma presented with positive SLNB and enlarged iliac lymph nodes.
- Imaging (CT and PET-CT) confirmed abnormal fluorodeoxyglucose (FDG) uptake in pelvic lymph nodes.
- Intraoperative observation revealed black lymph nodes in the iliac region.
Findings:
- Pathological examination confirmed metastatic atypical melanocytes in the iliac lymph nodes.
- Laparoscopic pelvic lymph node dissection was successfully performed.
- This represents a novel surgical approach for pelvic lymph node metastasis in malignant melanoma.
Implications:
- Laparoscopic pelvic lymph node dissection is a minimally invasive technique.
- This approach may be considered for pelvic lymph node dissection in malignant melanoma and other cancers.
- Further research is warranted to establish the efficacy and safety of this method.
