Table 2.
Patient | Location of the primary melanoma | Clinically involved basin | Surgical treatment of the involved basin | Second nodal basin | Surgical treatment of the ectopic basin | Pathologic status of the ectopic basin |
---|---|---|---|---|---|---|
1 | Anus/rectum midlinea | Paraproctium | Abdominoperineal resection | Right groin | SLNB | Positive |
2 | Back midline | Groin | Inguinal TLND | Contralat. groin | SLNB | Positive |
3 | Back midline | Groin | Ilioinguinal TLND | Ipsilat. axilla | SLNB | Negative |
4 | Right back | Axilla | Axillary TLND | Contralat. axilla | SLNB | Positive |
5 | Back midline | Axilla | Axillary LLND | Contralat. axilla | SLNB | Positive |
6 | Introitus urethras | Groin | Inguinal TLND plus ipsilateral iliac SLNB | Contralat. groin | SLNB | Negative |
7 | Left little toe | Groin | Ilioinguinal TLND | Popliteal | SLN Not Found | |
8 | Back midline | Axilla | Axillary TLND | Contralat. axilla | SLNB | Positive |
9 | Left epigastrium | Axilla | Axillary TLND | Parasternal | Not Exposed | |
10 | Back midline | Backa | Excision with safety margin, ipsilat. axillary LLND | Contralat. backb | SLNB | Negative |
11 | Right shoulder | Supraclavicular modes | Supraclavicular LLND | Ipsilat. axilla | SLNB | Positive |
12 | Lumbar midline | Groin | Ilioinguinal TLND | Contralat. groin | SLNB | Negative |
13 | Sternum midline | Axilla | Axillary TLND | Contralat. axilla | SLNB | Negative |
14 | Umbilicus midline | Groin | Inguinal TLND | Contralat. Iliac nodes | SLNB | Negative |
15 | Back midline | Axilla | Axillary TLNDc | Contralat. axilla | SLNB | Negative |
TLND therapeutic lymph node dissection, LLND less extended, atypical lymph node excision including macrometastasis and radioactive nodes, contralat. contralateral, ipsilat. ipsilateral, SLNB sentinel lymph node biopsy
a11 o’clock in the “lithotomy position”
bTriangular intermuscular space
cAxillary dissection of levels I–II only