Erschienen in:
08.03.2018 | Letter to the Editor
Epitrochlear lymph node basin in melanoma: an extension of the axillary station or an independent basin?
verfasst von:
Luca Cozzaglio, Federica Marazzi, Vittorio Quagliuolo
Erschienen in:
Updates in Surgery
|
Ausgabe 4/2018
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Excerpt
Melanoma of the forearm usually drains to the lymph nodes of the axilla, but sometimes metastatic cells can be found in the epitrochlear basin [
1,
2]. The number of epitrochlear lymph nodes may vary from one to five; however, in 10% of patients showing an epitrochlear sentinel lymph node (SLN) at lymphoscintigraphy no lymph nodes could be identified at surgical exploration and only fibroadipose tissue was found [
3]. The usual location of epitrochlear lymph nodes is above the medial epicondyle of the humerus, superficial to the fascia of the biceps. Their role in the spread of melanoma cells is unclear; in particular, it has not yet been established whether they should be considered an interval lymph node basin, an extension of the axillary station, or an independent basin. Furthermore, in case of metastasis to an epitrochlear lymph node it is still debated which surgical approach should be taken. …
