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    New technique for in-continuity axillary and supraclavicular lymphadenectomy for advanced metastatic melanoma using intraoperative image guidance: a case report

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    Authors
    Gajanan, Kantappa
    Daga, Karan
    Mullan, Damian
    Kosutic, Damir
    Affiliation
    Departments of Plastic Surgery.Radiology, The Christie NHS Foundation, Manchester.
    Issue Date
    2022
    
    Metadata
    Show full item record
    Abstract
    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 Research
    URI
    http://hdl.handle.net/10541/626038
    DOI
    10.1097/cmr.0000000000000868
    PubMed ID
    36728700
    Additional Links
    https://dx.doi.org/10.1097/cmr.0000000000000868
    Type
    Article
    Language
    en
    ae974a485f413a2113503eed53cd6c53
    10.1097/cmr.0000000000000868
    Scopus Count
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    All Christie Publications

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