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Ultrasound diagnosis of an atypical axillary lesion

Authors :
Alexander M.M. Eggermont
Christiane Voit
Alexander C.J. van Akkooi
Andrea Tüttenberg
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.

Details

ISSN :
09608931
Volume :
24
Database :
OpenAIRE
Journal :
Melanoma Research
Accession number :
edsair.doi.dedup.....0900411cdf29fbe5f1facfc0f2c8ec60