フルテキストファイル
著者
Goto, Hiroyuki Division of Dermatology, Department of Medicine of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧
Sugita, Kazunari Division of Dermatology, Department of Medicine of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University 研究者総覧 KAKEN
Yamamoto, Osamu Division of Dermatology, Department of Medicine of Sensory and Motor Organs, School of Medicine, Faculty of Medicine, Tottori University
キーワード
lymph node dissection
lymph node metastasis
melanoma and ultrasonography
抄録
Recent studies have shown that complete lymph node dissection (CLND) performed immediately did not improve the overall survival in patients with sentinel lymph node (LN)-positive melanoma. According to these results, nodal observation with ultrasonography becomes standard. However, it still has some limitations for detection of metastatic LNs. A 74-year-old woman was diagnosed with acral lentiginous melanoma of her left sole. The sentinel LN was positive for metastasis, but she refused CLND. Sixteen months after operation, ultrasonography showed an abnormal LN in the inguinal region. There was no other abnormal LNs around the LN. We resected the abnormal LN. The resected LN was black in color, and the adjacent LN that showed normal appearance in ultrasonography was also black. A recent study showed only 6.6% sensitivity in preoperative ultrasonographic detection of metastatic melanoma in a LN. We should keep in mind the limitation of ultrasonography for detection of a metastatic LN.
出版者
Tottori University Medical Press
資料タイプ
学術雑誌論文
外部リンク
ISSN
05135710
EISSN
13468049
書誌ID
AA00892882
掲載誌名
Yonago Acta Medica
最新掲載誌名
Yonago Acta Medica
64
3
開始ページ
315
終了ページ
317
発行日
2021-08-24
出版者DOI
著者版フラグ
出版社版
著作権表記
(C) 2021 Tottori University Medical Press
掲載情報
Goto Hiroyuki, Sugita Kazunari, Yamamoto Osamu, et al. Limitation of Using Ultrasonography After Positive Sentinel Lymph Node Biopsy in a Patient with Melanoma in the Detection of Lymph Node Metastasis. Yonago Acta Medica. 2021, 64(3), 315-317. doi:10.33160/yam.2021.08.008
部局名
医学部・医学系研究科・医学部附属病院
言語
英語