Georgeu G, El-Muttardi N, Mercer D
Department of Plastic Surgery, St Thomas' Hospital, London, UK.
Br J Plast Surg. 2002 Jul;55(5):443-5. doi: 10.1054/bjps.2002.3872.
Malignant melanoma metastasis to regional nodes is a well-recognised clinical event. Increasingly, sentinel lymph-node biopsy is being advocated for diagnostic and prognostic purposes. The lymphatic spread of tumour from the lateral aspect of the lower leg and foot is classically described as draining directly to the groin. We discuss the role of lymphoscintigraphy and popliteal dissection with reference to a recent case of a patient with a malignant melanoma at the level of the lateral malleolus that was shown to drain directly to a sentinel node in the popliteal fossa.
恶性黑色素瘤转移至区域淋巴结是一种公认的临床事件。越来越多的人主张进行前哨淋巴结活检以用于诊断和预后评估。经典描述认为，肿瘤从小腿外侧和足部的淋巴扩散是直接引流至腹股沟。我们结合最近一例位于外踝水平的恶性黑色素瘤患者的病例，讨论淋巴闪烁显像和腘窝淋巴结清扫的作用，该病例显示肿瘤直接引流至腘窝的一个前哨淋巴结。
