Popliteal lymph node dissection for metastases of cutaneous malignant melanoma

World Journal of Surgical Oncology

Samir Rasslan¹  Edivaldo Utiyama¹  Sergio Couto¹  Margareth Lallee¹  Tiberio Lima¹  Andre Perina¹  Gabriella Mendes¹  Eduardo Akaishi¹  Vitor Moutinho¹  Frederico Teixeira¹ 

[1]Department of General Surgery, Surgical Oncology Group, University of Sao Paulo School of Medicine, Sao Paulo, Brazil

关键词: Surgery;    Popliteal fossa;    Operative technique;    Metastases;    Malignant melanoma;    Lymph nodes;   

Others  :  812011
DOI  :  10.1186/1477-7819-12-135

 received in 2013-12-23, accepted in 2014-04-07,  发布年份 2014

【 摘 要 】

Popliteal lymph node dissection is performed when grossly metastatic nodal disease is encountered in the popliteal fossa or after microscopic metastasis is found in interval sentinel nodes during clinical staging of cutaneous malignant melanoma. Initially, an S-shaped incision is made to gain access to the popliteal fossa. A careful en bloc removal of fat tissue and lymph nodes is made to preserve and avoid the injury of peroneal and tibial nerves as well as popliteal vessels, following the previous recommendations. This rare surgical procedure was successfully employed in a patient with cutaneous malignant melanoma and nodal metastases at the popliteal fossa. The technique described by Karakousis was reproduced in a step-by-step fashion to allow anatomical identification of the neurovascular structures and radical resection with no post-operative morbidity and prompt recovery. Popliteal lymph node dissection is a rarely performed operative procedure. Following a lymphoscintigraphic examination of the popliteal nodal station, surgeons can be asked to explore the popliteal fossa. Detailed familiarity of the operative procedure is necessary, however, to avoid complications.

【 授权许可】

   
2014 Teixeira et al.; licensee BioMed Central Ltd.

【 图 表 】

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