PMID: 9641462Jun 26, 1998Paper

Lymphatic drainage from the skin of the back to retroperitoneal and paravertebral lymph nodes in melanoma patients

Annals of Surgical Oncology
R F UrenJ F Thompson

Abstract

Preoperative lymphoscintigraphy (LS) with 99mTc antimony sulphide colloid is now part of the routine management of patients with intermediate thickness melanoma at the Sydney Melanoma Unit. Over a 13-year period, 1375 patients have been examined using LS, and we have observed many unusual lymphatic drainage pathways, including direct drainage through the body wall to retroperitoneal and paravertebral lymph nodes from the skin of the back. The aim of this study was to determine the incidence of such drainage in the 542 patients who had primary melanoma sites on the posterior trunk. The lymphoscintigrams performed on these patients were examined for the presence of direct lymphatic drainage through the posterior body wall to sentinel nodes in the retroperitoneal and paravertebral regions. Lymphatic drainage directly through the body wall to such lymph nodes occurred in 14 of these 542 patients. Preoperative knowledge of the presence of this lymph drainage pattern may influence surgical management, and follow-up investigations in these patients can be tailored to ensure that the relevant areas are examined with anatomic imaging or F18-FDG PET scans.

References

Apr 1, 1992·Archives of Surgery·D L MortonA J Cochran
Mar 1, 1995·Clinical Nuclear Medicine·R F UrenW H McCarthy
Oct 1, 1993·Surgical Oncology·J C AlexD N Krag
May 1, 1996·Clinical Nuclear Medicine·R F UrenM J Quinn

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Citations

Mar 17, 2004·Annals of Surgical Oncology·Roger F Uren
Feb 22, 2007·Plastic and Reconstructive Surgery·Tobias CarlingCarolyn Truini
Jul 16, 2019·Clinical Nuclear Medicine·Richard RaghooRenato A Valdés Olmos
Apr 6, 2001·Diseases of the Colon and Rectum·A E MerrieJ L Mccall
Jun 29, 2004·Journal of Surgical Oncology·Lloyd A Mack, J Gregory McKinnon
Jul 25, 2015·European Journal of Nuclear Medicine and Molecular Imaging·Christina BluemelDomenico Rubello
Feb 13, 2001·The British Journal of Surgery·G K RoozendaalB B Kroon
Jun 6, 2000·Plastic and Reconstructive Surgery·J D WagnerJ T Hayes
Jul 13, 2002·American Journal of Clinical Dermatology·Pearon G Lang
Jan 23, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Shun YamazakiKazuo Kishi
Jul 13, 2002·Expert Review of Anticancer Therapy·J F Thompson, R F Uren
Aug 16, 2005·Current Problems in Surgery·Thomas A Aloia, Jeffrey E Gershenwald

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