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Marín-Piñero D, Melé-Ninot G, Quintana-Codina M. Mondor Disease of the Penis After Sentinel Lymph Node Biopsy in a Patient With Melanoma. ACTAS DERMO-SIFILIOGRAFICAS 2023:S0001-7310(23)00811-6. [PMID: 37848130 DOI: 10.1016/j.ad.2022.11.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Revised: 11/28/2022] [Accepted: 11/29/2022] [Indexed: 10/19/2023] Open
Affiliation(s)
- D Marín-Piñero
- Servicio de Dermatología, Hospital Universitari Sagrat Cor, Grupo Hospitalario Quirónsalud, Barcelona, España.
| | - G Melé-Ninot
- Servicio de Dermatología, Hospital Universitari Sagrat Cor, Grupo Hospitalario Quirónsalud, Barcelona, España
| | - M Quintana-Codina
- Servicio de Dermatología, Hospital Universitari Sagrat Cor, Grupo Hospitalario Quirónsalud, Barcelona, España
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Solari N, Bertoglio S, Boscaneanu A, Minuto M, Reina S, Palombo D, Bruzzi P, Cafiero F. Sentinel lymph node biopsy in patients with malignant melanoma: analysis of post-operative complications. ANZ J Surg 2019; 89:1041-1044. [PMID: 31368164 DOI: 10.1111/ans.15358] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Revised: 05/15/2019] [Accepted: 06/11/2019] [Indexed: 12/20/2022]
Abstract
BACKGROUND This study investigates the incidence of post-operative complications and risk factors of sentinel lymph node biopsy (SLNB) in melanoma patients. METHODS A retrospective cohort study was conducted at a single cancer institution on 408 consecutive SLNBs. RESULTS Fifty-five post-operative complications occurred in 39 (9.5%) patients and included: wound infection in 24 (5.9%), seroma and lymphorrhea in 15 (3.7%), wound dehiscence in seven (1.7%), lymphocele in six (1.5%) and others in three (0.7%). Univariate analysis failed to identify possible risk factors (i.e. gender, age, lymph node region, number of excised lymph nodes, Breslow index, pT levels, comorbidities, length of surgery and hospital stay). Metastatic sentinel nodes occurred in four of 135 (3%) patients with thin melanoma (Breslow <1 mm) and in 68 of 262 (25.9%) patients with Breslow >1 mm. CONCLUSION For patients with thin melanoma in whom the incidence of lymph node metastasis is low, the reported post-operative morbidity of almost 10% of SLNB highlights the need for careful patient selection.
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Affiliation(s)
- Nicola Solari
- Department of Surgery, Surgery Unit 1, San Martino Hospital, Genoa, Italy
| | - Sergio Bertoglio
- Department of Surgery, Surgery Unit 1, San Martino Hospital, Genoa, Italy
- Department of Surgical Sciences, University of Genoa, Genoa, Italy
| | | | - Michele Minuto
- Department of Surgery, Surgery Unit 1, San Martino Hospital, Genoa, Italy
- Department of Surgical Sciences, University of Genoa, Genoa, Italy
| | - Simona Reina
- Department of Surgery, Surgery Unit 1, San Martino Hospital, Genoa, Italy
| | - Denise Palombo
- Department of Surgery, Surgery Unit 1, San Martino Hospital, Genoa, Italy
| | - Paolo Bruzzi
- Department of Clinical Epidemiology, San Martino Hospital, Genoa, Italy
| | - Ferdinando Cafiero
- Department of Surgery, Surgery Unit 1, San Martino Hospital, Genoa, Italy
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Espinosa-Pereiro C, Zulaica Gárate A, García-Doval I. Complications and Sequelae After Sentinel Lymph Node Biopsy in Melanoma: A Retrospective Cohort Study. ACTAS DERMO-SIFILIOGRAFICAS 2019. [DOI: 10.1016/j.adengl.2019.01.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Espinosa-Pereiro CE, Zulaica Gárate A, García-Doval I. Complications and Sequelae After Sentinel Lymph Node Biopsy in Melanoma: A Retrospective Cohort Study. ACTAS DERMO-SIFILIOGRAFICAS 2019; 110:482-489. [PMID: 30982568 DOI: 10.1016/j.ad.2019.01.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2018] [Revised: 01/23/2019] [Accepted: 01/27/2019] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND AND OBJECTIVE Sentinel lymph node (SLN) biopsy is a staging, not a therapeutic, procedure. The benefits of SLN biopsy have been more modest than expected and could be outweighed by the risks, which remain unclear. The aim of this study was to describe complications and sequelae observed in patients with melanoma who underwent routine SLN biopsy at our hospital. PATIENTS AND METHODS In this retrospective cohort study, we performed a chart review of all patients with melanoma who underwent SLN biopsy at our hospital in Vigo, Spain, between January 2011 and July 2017. RESULTS In the period analyzed, 124 SLN biopsies were performed. Over a mean follow-up of 52.7 months (range 10.8-88.7 months). A percentage of 37.9 of the patients experienced complications. The complication rate after excluding patients who underwent lymph node dissection was 30.9%. In the full chort group, there were 14 scar-related complications (11.3%), 13 surgical wound infections (10.5%), 12 lymphedemas (9.7%), 11 seromas (8.9%), 4 hematomas (3.2%), 4 wound dehiscences (3.2%), 2 cases of lymphorrhagia (1.6%), 2 cases of sensitivity alteration (1.6%), and one urinary tract infection (0.8%). The most common sequela was lymphedema. Sequelae were on record for 15.3% of patients in the full cohort (7.5% of the patients who did not undergo lymphadenectomy). Smoking was associated with a 33 to 73% increased risk of complications. The main limitation of this study is the risk of information bias due to incomplete follow-up. CONCLUSIONS SLN biopsy is a melanoma staging procedure that causes complications and sequelae. Recommendations for its use in clinical practice guidelines should be revised and the risks and benefits carefully evaluated in each case. Smokers in particular seem to have a high risk of complications. Patients with melanoma could benefit greatly from the development of less invasive staging tools.
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Affiliation(s)
- C E Espinosa-Pereiro
- Facultad de Medicina, Universidad de Santiago de Compostela, Santiago de Compostela, A Coruña, España
| | - A Zulaica Gárate
- Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España
| | - I García-Doval
- Servicio de Dermatología, Complexo Hospitalario Universitario de Vigo, Vigo, Pontevedra, España.
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Guillier D, Moris V, Al Hindi AA, Rem K, Chatel H, See LA, Revol M, Mazouz Dorval S. Surgical approaches in neck dissection: Comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach. ANN CHIR PLAST ESTH 2017; 63:140-147. [PMID: 28838700 DOI: 10.1016/j.anplas.2017.07.017] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2017] [Accepted: 07/24/2017] [Indexed: 01/29/2023]
Abstract
BACKGROUND Surgical approaches in neck dissection: comparing functional, oncologic and aesthetic aspects of transverse cervicotomy to Paul André's approach. METHODS This single-center retrospective study compares a new transverse incision for cervicotomy to the classical approach described by Paul André in neck dissections. The evaluation criteria were: number of lymph nodes analyzed, operative time, complications, patient satisfaction and aesthetic aspects of the scar. RESULTS A total of 34 patients were included in this study, from September 2009 until January 2015. The number of lymph nodes analyzed is not affected by this new approach compared to the classical one (P=0.9). The scar has a significantly more discreet appearance in the transverse cervicotomy group (P=0.023) likewise; patient satisfaction is higher in this group (P=0.006). CONCLUSIONS Aesthetic and functional impairment can be reduced using this new transverse cervical approach hidden in the natural creases of the neck described by Langer.
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Affiliation(s)
- D Guillier
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France; Plastic and Reconstructive department, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France.
| | - V Moris
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France; Plastic and Reconstructive department, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France
| | - A A Al Hindi
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - K Rem
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - H Chatel
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - L-A See
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France; Plastic and Reconstructive department, CHU de Dijon, 14, rue Paul-Gaffarel, 21000 Dijon, France
| | - M Revol
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
| | - S Mazouz Dorval
- Univ Paris Diderot, Sorbonne Paris Cité, 75013 Paris, France; Plastic and Reconstructive department, hôpital Saint-Louis, AP-HP, 75010 Paris, France
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Lee JW, Ahn JW, Han G, Kwon SH, Jeon J, Seo SH. Lymphocele after Lipoma Removal in Inner Thigh. Ann Dermatol 2017; 29:100-101. [PMID: 28223756 PMCID: PMC5318504 DOI: 10.5021/ad.2017.29.1.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Revised: 12/03/2015] [Accepted: 12/14/2015] [Indexed: 11/13/2022] Open
Affiliation(s)
- Jung Woo Lee
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
| | - Jae Woo Ahn
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
| | - Geo Han
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
| | - Seung Hwi Kwon
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
| | - Jiehyun Jeon
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
| | - Soo Hong Seo
- Department of Dermatology, Korea University College of Medicine, Seoul, Korea
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Theodore JE, Frankel AJ, Thomas JM, Barbour AP, Bayley GJ, Allan CP, Wagels M, Smithers BM. Assessment of morbidity following regional nodal dissection in the axilla and groin for metastatic melanoma. ANZ J Surg 2017; 87:44-48. [PMID: 27102082 DOI: 10.1111/ans.13526] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Revised: 02/10/2016] [Accepted: 02/11/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND This study assessed and compared the morbidity of nodal dissection in the axilla and groin including sentinel lymph node biopsy (SLNB), completion lymph node dissection for a positive SLNB (CLND) and therapeutic lymph node dissection (TLND) with and without adjuvant radiotherapy (RT). METHODS Patients who had nodal dissection in the axilla or groin for cutaneous melanoma over an 18-year period (1995-2013) were prospectively documented on a database. The median follow-up was nearly 3 years. Early complications and clinically relevant lymphoedema were retrospectively analysed to assess the incidence and differences between the region and type of nodal surgery. RESULTS Included were 1521 patients following nodal dissection in the axilla (916 patients) and groin (605 patients). Less early complications occurred following SLNB in the axilla compared with the groin (5% versus 14%, P = 0.0001). Early complications were similar for CLND and TLND in the groin (49% versus 43%, P = 0.879) and axilla (28% versus 33%, P = 0.607). Moderate to severe lymphoedema rates were similar following axillary SLNB and CLND (6% versus 8%, P = 0.407). The lymphoedema rate for groin SLNB was lower than CLND (10% versus 20%, P = 0.063). No significant difference in lymphoedema rates followed CLND and TLND in each region. Following TLND, RT increased lymphoedema rates. CONCLUSIONS Morbidity may occur following SLNB with the groin having a higher rate of early complications and lymphoedema compared with the axilla. The morbidity following CLND and TLND were similar. Lymphoedema rates were increased following RT.
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Affiliation(s)
- Jane E Theodore
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
- The University of Queensland, Mater Health Services, Brisbane, Queensland, Australia
| | - Adam J Frankel
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Janine M Thomas
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
- Mater Research Institute, Mater Health Services, Brisbane, Queensland, Australia
| | - Andrew P Barbour
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
- Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
| | - Gerard J Bayley
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
| | - Christopher P Allan
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
- The University of Queensland, Mater Health Services, Brisbane, Queensland, Australia
| | - Michael Wagels
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
- Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
| | - B Mark Smithers
- The Queensland Melanoma Project, Princess Alexandra Hospital, Brisbane, Queensland, Australia
- Princess Alexandra Hospital, The University of Queensland, Brisbane, Queensland, Australia
- Mater Research Institute, Mater Health Services, Brisbane, Queensland, Australia
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Wollina U, Langner D, Schönlebe J, Tanner C, Fuchs M, Nowak A. Sentinel lymph node biopsy in early melanoma-comparison of two techniques for sentinel removal. Wien Med Wochenschr 2016; 167:100-103. [PMID: 27577250 DOI: 10.1007/s10354-016-0499-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2016] [Accepted: 07/13/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND Sentinel lymph node biopsy is an established technique for melanoma staging. OBJECTIVE There are no studies available comparing different techniques for the removal of sentinel lymph nodes related to safety and postsurgical complication rate. METHODS This is a retrospective single-center trial. We analyzed the postsurgical complications in 201 consecutive melanoma patients with ligature of lymphatic vessels by sutures (group A) and in 91 consecutive patients with occlusion of lymphatic vessels by bipolar tweezers (group B). We paid particular attention to complications related to disturbed lymphatic function, such as lymph edema, lymphatic fistula, and seroma. RESULTS The complication rate was 5.5 % (group A) and 9.6 % (group B) which is in the range of other published trials (p = 0.89). There was no increase of complications related to lymphatic vessels in group B, although the rate of patients with more than two sentinel lymph nodes removed was 5‑times higher than in group A. CONCLUSIONS Removal of sentinel lymph nodes with the use of bipolar tweezers does not increase the risk of postsurgical complications, and in particular it is not associated with a higher rate of complications related to lymphatic vessel dysfunction.
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Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Friedrichstrasse 41, 01067, Dresden, Germany.
| | - Dana Langner
- Department of Dermatology and Allergology, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Friedrichstrasse 41, 01067, Dresden, Germany
| | - Jacqueline Schönlebe
- Institute of Pathology "Georg Schmorl", Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Dresden, Germany
| | - Carmen Tanner
- Clinic for Nuclear Medicine Fuchs & Tanner, Dresden, Germany
| | - Martin Fuchs
- Clinic for Nuclear Medicine Fuchs & Tanner, Dresden, Germany
| | - Andreas Nowak
- Department of Anaesthesiology & Intensive Medicine, Emergency Medicine & Pain Management, Hospital Dresden-Friedrichstadt, Academic Teaching Hospital of the Technical University of Dresden, Dresden, Germany
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Gentileschi S, Servillo M, Salgarello M. Supramicrosurgical lymphatic-venous anastomosis for postsurgical subcutaneous lymphocele treatment. Microsurgery 2015; 35:565-8. [DOI: 10.1002/micr.22478] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2015] [Revised: 07/26/2015] [Accepted: 08/10/2015] [Indexed: 11/09/2022]
Affiliation(s)
- Stefano Gentileschi
- Department of Plastic and Reconstructive Surgery; Catholic University Sacred Heart, Policlinico Agostino Gemelli; Rome Italy
| | - Maria Servillo
- Department of Plastic and Reconstructive Surgery; Catholic University Sacred Heart, Policlinico Agostino Gemelli; Rome Italy
| | - Marzia Salgarello
- Department of Plastic and Reconstructive Surgery; Catholic University Sacred Heart, Policlinico Agostino Gemelli; Rome Italy
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[Mandibular metastasis of a cutaneous melanoma or metachronous amelanotic melanoma of the oral cavity? A case report and literature review]. ANN CHIR PLAST ESTH 2014; 59:276-9. [PMID: 24503521 DOI: 10.1016/j.anplas.2014.01.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2013] [Accepted: 01/05/2014] [Indexed: 11/23/2022]
Abstract
Primary and metastatic mandibular melanoma are extremely rare. We report the original case of a 55-year-old woman treated 16 years before for a cutaneous melanoma, and now presenting with a huge mandibular amelanotic melanoma. Was it an histologically different mandibular metastasis of the previous cutaneous melanoma, or a metachronous oral amelanotic melanoma?
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