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Ultrasound diagnosis of an atypical axillary lesion
- Source :
- Melanoma Research. 24:517-521
- Publication Year :
- 2014
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2014.
-
Abstract
- We report on the case of a 41-year-old man with a recently diagnosed amelanotic ulcerated melanoma, with a Breslow thickness of 3.5 mm and Clark level IV. He had a pre-existing mass in the axilla, which had grown in parallel to the developing tumor. A large regional lymph node was clinically suspected. Ultrasound (US) examination of the axilla showed a large benign lipoma but also a very atypical peripheral perfusion. At the same time, a sentinel node showed a peripheral perfusion on US. Fine-needle aspiration cytology was performed of the different lesions and showed a melanoma metastasis in the sentinel node. Thereafter, a lymph node dissection was performed. The lipoma was seen in histopathology and even the peripheral perfusion was confirmed. US and US-guided fine-needle aspiration cytology can be easily applied in the diagnosis of lymph node metastases in melanoma patients and can help determine a benign or a malignant involvement.
- Subjects :
- Adult
Male
Cancer Research
medicine.medical_specialty
Skin Neoplasms
Biopsy
Biopsy, Fine-Needle
Dermatology
Metastasis
Breslow Thickness
medicine
Humans
Melanoma
Lymph node
Ultrasonography
medicine.diagnostic_test
Sentinel Lymph Node Biopsy
business.industry
Lipoma
Sentinel node
medicine.disease
Axilla
medicine.anatomical_structure
Oncology
Lymphatic Metastasis
Lymph Node Excision
Lymph Nodes
Radiology
business
Subjects
Details
- ISSN :
- 09608931
- Volume :
- 24
- Database :
- OpenAIRE
- Journal :
- Melanoma Research
- Accession number :
- edsair.doi.dedup.....0900411cdf29fbe5f1facfc0f2c8ec60