1998
DOI: 10.1007/bf02303781
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Epitrochlear lymph nodes as a site of melanoma metastasis

Abstract: Epitrochlear nodal involvement from melanoma of the distal upper extremity is rare, and routine epitrochlear node clearance at the time of either elective or therapeutic axillary dissection for upper extremity melanoma is not indicated. However, it is desirable to perform an axillary dissection whenever surgery for metastatic disease in an epitrochlear node is performed.

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Cited by 46 publications
(15 citation statements)
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“…Among the 4,262 total patients in that study, only 13 (0.31%) suffered a failure in a popliteal lymph node. In a similar study of patients with melanoma of the upper extremity, 1.1% suffered a failure in an epitrochlear lymph node25. In comparison, in-transit failure is reported to be as high as 20% in patients with melanomas distal to the elbow or knee with positive sentinel lymph nodes at diagnosis22, 26.…”
Section: Discussionmentioning
confidence: 95%
“…Among the 4,262 total patients in that study, only 13 (0.31%) suffered a failure in a popliteal lymph node. In a similar study of patients with melanoma of the upper extremity, 1.1% suffered a failure in an epitrochlear lymph node25. In comparison, in-transit failure is reported to be as high as 20% in patients with melanomas distal to the elbow or knee with positive sentinel lymph nodes at diagnosis22, 26.…”
Section: Discussionmentioning
confidence: 95%
“…The SLN is usually located in a regional lymph node basin, but substantial interindividual differences exist [11,12]. SLNs may also be observed between the primary lesion and the nodal basin (so-called in-transit or interval SLNs) [13][14][15]. A melanoma may directly drain to several lymph nodes in one or several nodal basins, which is often the case when it is located on the midline of the trunk or head and neck area [16].…”
Section: Background and Definitionsmentioning
confidence: 99%
“…In a study conducted by Hunt et al ,12 epitrochlear lymph node metastases occurred in only 2.4% (2/83) of patients with upper extremity melanoma with spread to the axillary nodal basin. In contrast, concurrent axillary nodal involvement occurred in 50% (3/6) of patients who underwent elective axillary clearance at the time of surgery for epitrochlear nodal disease.…”
Section: Discussionmentioning
confidence: 92%
“…In contrast, concurrent axillary nodal involvement occurred in 50% (3/6) of patients who underwent elective axillary clearance at the time of surgery for epitrochlear nodal disease. Hence, for an upper extremity melanoma with proven axillary nodal involvement, routine epitrochlear clearance is not required 12. In contrast, whenever there is proven epitrochlear nodal involvement, a completion axillary clearance should always be undertaken 3 9 12…”
Section: Discussionmentioning
confidence: 99%