Sentinel lymphadenectomy on a rare eyelid malignant blue nevus case

Sentinel lymphadenectomy on a rare eyelid malignant blue nevus case Lymphatic mapping and sentinel lymphadenectomy on a rare malignant blue nevus of the eyelid are reported. The treatment was wide excision and reconstruction. A 72-year-old male was referred with a progressively growing right lower eyelid mass on a blue flat lesion. Incisional biopsy confirmed malignancy. After wide tumor excision the resulting defect was reconstructed with Mustardé's cheek flap and a chondromucosal graft. A submandibular lymph node was found with intraoperative lymphatic mapping and sentinel lymphadenectomy technique. Histopathologic examination revealed a malignant blue nevus with sentinel lymph node involvement. Additional surgery or chemotherapy was not possible because of the patient's unfavorable general health. He was followed for 1 year without local or distant metastasis. Sentinel lymphadenectomy should be in the armamentarium of surgeons. This method provides important information about regional lymph node status and staging of patients as in malignant melanoma. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Sentinel lymphadenectomy on a rare eyelid malignant blue nevus case

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Publisher
Springer Journals
Copyright
Copyright © 2002 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-001-0304-1
Publisher site
See Article on Publisher Site

Abstract

Lymphatic mapping and sentinel lymphadenectomy on a rare malignant blue nevus of the eyelid are reported. The treatment was wide excision and reconstruction. A 72-year-old male was referred with a progressively growing right lower eyelid mass on a blue flat lesion. Incisional biopsy confirmed malignancy. After wide tumor excision the resulting defect was reconstructed with Mustardé's cheek flap and a chondromucosal graft. A submandibular lymph node was found with intraoperative lymphatic mapping and sentinel lymphadenectomy technique. Histopathologic examination revealed a malignant blue nevus with sentinel lymph node involvement. Additional surgery or chemotherapy was not possible because of the patient's unfavorable general health. He was followed for 1 year without local or distant metastasis. Sentinel lymphadenectomy should be in the armamentarium of surgeons. This method provides important information about regional lymph node status and staging of patients as in malignant melanoma.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jun 1, 2002

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