ALT EKSTREMİTE MALIGN MELANOM OLGULARINDA NADİR GÖRÜLEN BİR DURUM;POPLİTEAL FOSSA METASTAZI VE DİSEKSİYONU;OLGU SUNUMU

Yıl 2008, Cilt: 16 Sayı: 3, 127 - 129, 01.12.2008

Ali Tufan Soydan Mahmet Ulvi Kayalı Gürsel Turgut Özay Özkaya Lütfü Baş

Öz

Malign melanom'un prognozunu etkileyen en önemli faktör lokal lenf nodu metastazı varlığıdır.1 Son zamanlarda lenfosintigrafi ve sentinel lenf nodu biyopsisi gibi yöntemlerin kullanılması lokal lenf nodu metastazlarını taramada önemli bir etken olmuştur.2 Distal bacak ve ayak bölgesi malign melanomları klasik olarak ingüinal lenf nodlarına metastaz yaparlar.3 Bunun yanında üst ve alt ekstremitelerde sırasıyla epitroklear ve popliteal bölge gibi alışılmadık bölgelerin metastazlarına da rastlanmaktadır.4 Popliteal fossa metastazı ve diseksiyonu hakkında ise literatürde kısıtlı sayıda yayın bulunmaktadır.3,4,5,6 Biz bu çalışmamızda,nadiren yapılan bu cerrahi işlem ile ilgili deneyimimizi aktarmayı amaçladık.

Anahtar Kelimeler

Popliteal lenf nodu diseksiyonu, malign melanom, alt ekstremite lenfatik drenaj

A RARELY SEEN METASTASIS IN LOWER EXTREMITY MALIGNANT MELANOMAS; POPLITEAL FOSSA METASTASIS AND LYMPH NODE DISSECTION CASE REPORT

Öz

Metastatic disease of te regional lymph nodes is the most important predictor of outcome in malignant melanoma.1 The use of lymphoscintigraphy and sentinel node biopsy in the regional lymp nodes has made it possible to delineate lymphatic pathways in individual patients.2 Traditionally metastatic melanoma of the distal leg and foot metastasize to the lymph nodes of the groin.3 Sometimes,however ,metastasis exist outside these traditional nodal basinsincluding drainage to the epitrochlear and politeal nodes for distal upper and lower extremity respectively.4 Popliteal lypmh node metastasis and dissection is not clear from the literature.3,4,5,6 In this study,we aimed to share our experience wih this uncommon procedure.

Anahtar Kelimeler

Popliteal lymph node dissection, malignant melanoma, lower extremity lymphatic drainage

Kaynakça

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