Approach for recurrent thyroid carcinoma with a clavicle osteotomy

Lazim, Norhafiza Mat; Abdullah, Baharudin; Ismail, Wan Faisham Numan Wan

doi:10.5222/mmj.2018.01205

Cited by 1 publication

(3 citation statements)

References 9 publications

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“…This is an extremely invasive surgery, which carries great risks of damaging the neurovascular structures within the cervicoaxillary canal. It could compress the brachial plexus, cause non-/ mal-union of the clavicle or potentially restrict range of motion [3,6]. Furthermore, subsequent removal of metalwork may be required as a second procedure.…”

Section: Discussionmentioning

confidence: 99%

“…The existing literature only consists of two articles, which describe true in-continuity dissection of the cervicoaxillary canal [3,5]. The main obstacle in ensuring complete dissection remains the clavicle [3][4][5][6]. In 1955, Bowden et al [5] described their experience with radical surgery, in which seven of 14 patients underwent a forequarter amputation to achieve in-continuity lymphadenectomy.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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New technique for in-continuity axillary and supraclavicular lymphadenectomy for advanced metastatic melanoma using intraoperative image guidance: a case report

Gajanan¹,

Daga

Mullan

et al. 2022

Melanoma Research

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Simultaneousinvolvement of the supraclavicular and axillary lymphatic basins is known to occur in metastatic skin cancers. We present the case of a 35-year-old male with metastatic melanoma present in the right neck and axillary lymph nodes. He underwent a combined, in-continuity dissection of both basins using intraoperative ultrasound to ensure full clearance of lymph nodes from the cervicoaxillary canal, which otherwise would have been impossible to achieve without clavicle osteotomy. This allowed us to avoid a division of the clavicle and related morbidity. Postoperative imaging confirmed no residual disease, and no local recurrence subsequently. We conclude that intraoperative use of ultrasound can help guide surgeons trying to achieve clearance of metastatic disease in anatomically complex regions, avoiding unnecessary morbidity. Melanoma Res 33: 149-151

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Section: Discussionmentioning

confidence: 99%