Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report

Metastatic malignant melanomas of the distal leg and foot typically metastasize to the lymph nodes of the groin. In rare cases, the first site of nodal metastasis is the popliteal fossa. The rate of popliteal metastasis in lower extremity melanomas ranges from 0.3% to 7%. Simultaneous popliteal and...

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Main Authors: Emine Çiğdem Karadağ, Ayşe Özlem Gündeşlioğlu, İrfan İnan
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-06-01
Series:Turkish Journal of Plastic Surgery
Subjects:
Online Access:http://turkjplastsurg.org/eng/makale/1050/80/Full-Text
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author Emine Çiğdem Karadağ
Ayşe Özlem Gündeşlioğlu
İrfan İnan
author_facet Emine Çiğdem Karadağ
Ayşe Özlem Gündeşlioğlu
İrfan İnan
author_sort Emine Çiğdem Karadağ
collection DOAJ
description Metastatic malignant melanomas of the distal leg and foot typically metastasize to the lymph nodes of the groin. In rare cases, the first site of nodal metastasis is the popliteal fossa. The rate of popliteal metastasis in lower extremity melanomas ranges from 0.3% to 7%. Simultaneous popliteal and inguinal lymph node metastases are also quite rare. We present a case of a melanoma located in the heel with palpable popliteal lymph node involvement, which was not evident on clinical examination and positron emission tomography imaging. Despite this lack of evidence, the histopathological results revealed that the inguinal lymph nodes were infiltrated with melanoma. This case report is presented to draw surgeons’ attention to the possibility of lymph node metastases in inguinal and popliteal regions even when neither clinical examination nor imaging reveals inguinal metastasis.
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spelling doaj.art-4ba21c7cd2c1455faf268fb702b238082023-02-15T16:07:07ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442017-06-0125210310610.5152/TurkJPlastSurg.2017.2072Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case ReportEmine Çiğdem Karadağ0Ayşe Özlem Gündeşlioğlu1İrfan İnan2Department of Plastic, Aesthetic and Reconstructive Surgery, Konya Numune State Hospital, Konya, TurkeyDepartment of Plastic, Aesthetic and Reconstructive Surgery, Necmettin Erbakan University, Meram School of Medicine, Konya, TurkeyDepartment of Plastic, Aesthetic and Reconstructive Surgery, Konya Meram Research and Training Hospital, Konya, TurkeyMetastatic malignant melanomas of the distal leg and foot typically metastasize to the lymph nodes of the groin. In rare cases, the first site of nodal metastasis is the popliteal fossa. The rate of popliteal metastasis in lower extremity melanomas ranges from 0.3% to 7%. Simultaneous popliteal and inguinal lymph node metastases are also quite rare. We present a case of a melanoma located in the heel with palpable popliteal lymph node involvement, which was not evident on clinical examination and positron emission tomography imaging. Despite this lack of evidence, the histopathological results revealed that the inguinal lymph nodes were infiltrated with melanoma. This case report is presented to draw surgeons’ attention to the possibility of lymph node metastases in inguinal and popliteal regions even when neither clinical examination nor imaging reveals inguinal metastasis.http://turkjplastsurg.org/eng/makale/1050/80/Full-TextMalignant melanomalymphatic metastasispositron emission tomography
spellingShingle Emine Çiğdem Karadağ
Ayşe Özlem Gündeşlioğlu
İrfan İnan
Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report
Turkish Journal of Plastic Surgery
Malignant melanoma
lymphatic metastasis
positron emission tomography
title Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report
title_full Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report
title_fullStr Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report
title_full_unstemmed Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report
title_short Malignant Melanoma with Simultaneous Inguinal and Popliteal Lymph Node Metastases: A Rare Case Report
title_sort malignant melanoma with simultaneous inguinal and popliteal lymph node metastases a rare case report
topic Malignant melanoma
lymphatic metastasis
positron emission tomography
url http://turkjplastsurg.org/eng/makale/1050/80/Full-Text
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AT ayseozlemgundeslioglu malignantmelanomawithsimultaneousinguinalandpopliteallymphnodemetastasesararecasereport
AT irfaninan malignantmelanomawithsimultaneousinguinalandpopliteallymphnodemetastasesararecasereport