New technique for in-continuity axillary and supraclavicular lymphadenectomy for advanced metastatic melanoma using intraoperative image guidance: a case report
Affiliation
Departments of Plastic Surgery.Radiology, The Christie NHS Foundation, Manchester.Issue Date
2022
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Simultaneous involvement of the supraclavicular and axillary lymphatic basins is known to occur in metastatic skin cancers. We present the case of a 35-year-old male with metastatic melanoma present in the right neck and axillary lymph nodes. He underwent a combined, in-continuity dissection of both basins using intraoperative ultrasound to ensure full clearance of lymph nodes from the cervicoaxillary canal, which otherwise would have been impossible to achieve without clavicle osteotomy. This allowed us to avoid a division of the clavicle and related morbidity. Postoperative imaging confirmed no residual disease, and no local recurrence subsequently. We conclude that intraoperative use of ultrasound can help guide surgeons trying to achieve clearance of metastatic disease in anatomically complex regions, avoiding unnecessary morbidity.Citation
Gajanan K, Daga K, Mullan D, Kosutic D. New technique for in-continuity axillary and supraclavicular lymphadenectomy for advanced metastatic melanoma using intraoperative image guidance: a case report. Melanoma research. 2022 Dec 28. PubMed PMID: 36728700. Epub 2023/02/03. eng.Journal
Melanoma ResearchDOI
10.1097/cmr.0000000000000868PubMed ID
36728700Additional Links
https://dx.doi.org/10.1097/cmr.0000000000000868Type
ArticleLanguage
enae974a485f413a2113503eed53cd6c53
10.1097/cmr.0000000000000868