Popliteal Lymph Node Metastasis After Excision of the Malign Melanoma of the Heel

YILMAZ M., Balik O., Aktas R. A., MENDERES A.

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, vol.29, no.2, pp.543-546, 2009 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 29 Issue: 2
  • Publication Date: 2009
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.543-546
  • Keywords: Sentinel lymph node biopsy, melanoma, DISSECTION, LOCALIZATION, BIOPSY
  • Dokuz Eylül University Affiliated: Yes


Generally, melanoma of the distal leg and the foot metastasize to the lymph nodes of the groin. Sometimes the first site of nodal disease may be the popliteal fossa. A 50-year-old woman presented with pigmented macular lesion on the left heel. Pathology report was positive for malign melanoma, 6.63 mm thickness and Clark's level V, following excision. There was no evidence for systemic metastasis; additional surgical intervention was not performed because of the thickness of the lesion and the patient was monitored. After 21 months, we noticed a 3 x 2 cm palpable inguinal lymph node on the same side and popliteal lymphatic metastasis was determined by pre-operative lymphoscintigraphy. Pathologic report was positive for only popliteal sentinel lymph node. We performed both popliteal and grion lymph node dissections simultaneously. We suggest that groin and popliteal lymphatic dissection must be per-formed together for popliteal lymph node positive malign melanoma cases.