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. 2013 Jan 12;20(5):1714–1721. doi: 10.1245/s10434-012-2841-1

Table 2.

Characteristics of the patients with lymphatic drainage to ectopic nodal basins

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