Reconstruction following radical resection of recurrent metastatic axillary melanoma

Plastic and Reconstructive Surgery
John Y KimCharles E Butler

Abstract

Recurrent axillary metastasis following axillary lymphadenectomy for melanoma is associated with a poor prognosis. Radical resection of such axillary recurrences with concomitant reconstruction may not only yield significant palliation of symptoms but also improve disease-free survival. The purpose of this study was to evaluate the outcomes of this radical surgical approach and help determine the risks and benefits for this patient population. A retrospective review of all patients who underwent axillary reexcision and reconstruction for metastatic melanoma between 1990 and 2000 was conducted at The University of Texas M. D. Anderson Cancer Center. Nine patients were identified who underwent flap reconstruction following radical excision of axillary recurrence after a previous lymphadenectomy. A total of 14 flaps were performed on the nine patients (five free flaps and nine pedicled muscle or myocutaneous flaps). Indications for surgery included pain, bleeding, and infection. Seven of the nine patients received perioperative radiation therapy. Palliation of symptoms was achieved in all patients. Free flap survival was 100 percent. Complications occurred in four of nine patients and included seroma, lymphedema, and wound dehisce...Continue Reading

References

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Feb 1, 1994·Plastic and Reconstructive Surgery·P G ArnoldP C Pairolero
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Citations

Dec 3, 2009·Plastic and Reconstructive Surgery·Adam T SilvermanAlfonso C Ciervo
Mar 3, 2010·Plastic and Reconstructive Surgery·Jon P Ver HalenDavid W Chang
Jan 5, 2012·Annals of Plastic Surgery·Maanasi SamantDavid W Chang
Dec 7, 2007·Radiation and Environmental Biophysics·De-sheng WuQin-dong Xie
Aug 10, 2011·Journal of Surgical Oncology·Amber L ShadaCraig L Slingluff
Apr 1, 2013·Plastic and Reconstructive Surgery. Global Open·Jun MatsunagaTamio Suzuki
Dec 20, 2019·Journal of Surgical Oncology·Lucas Kreutz-RodriguesKarim Bakri

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