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What Is the Color of Your Lymph Node?
Yeela Ben Naftali1, Asia Brodsky2, Eran D Bar-Meir3
1Plastic Surgery Department, Rambam Healthcare Campus and Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Plastic and Reconstructive Surgery. Global Open
|January 19, 2019
Summary
Tattoo ink can deposit in axillary lymph nodes, appearing during surgery. Recognizing this pigment is crucial to prevent misdiagnosis and ensure correct patient management.
Area of Science:
- Surgical Pathology
- Oncology
- Dermatology
Background:
- Axillary lymph node examination is critical during breast cancer surgery.
- Pigment deposition in lymph nodes can mimic metastatic disease.
Observation:
- Pigment deposition from tattoos was observed within an axillary lymph node.
- The observation occurred during an axillary dissection and mastectomy procedure.
- The ink appeared as dark granules within the nodal tissue.
Findings:
- Tattoo ink deposition in axillary lymph nodes is a recognized phenomenon.
- Histological examination confirmed the presence of exogenous pigment.
- The ink did not appear to be associated with malignancy in this case.
Implications:
- Accurate identification of tattoo ink prevents misinterpretation as metastatic disease.
- Knowledge of this finding aids surgeons and pathologists in avoiding diagnostic errors.
- Patient counseling regarding potential lymph node pigmentation may be beneficial.
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