Video-Assisted Endoscopic Inguinal Lymph Node Dissection for Acral Melanoma

This article discusses acral melanoma, a rare subtype of melanoma often presented at the later stages of the disease and is, thus, associated with poor survival rates, especially in patients with a lower socioeconomic status. Surgical resection is the primary treatment option for localized acral mel...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-06, Vol.15 (6), p.e40136
Main Authors: Rosales, Jose A, Palacios, Christian A, Fernandez Trokhimtchouk, Tatiana, Flores, Luis F, Morillo Cox, Álvaro, Crespo Martinez, Joseline K, German, Melissa
Format: Article
Language:English
Subjects:
Amputation
Biopsy
Case reports
Dissection
Endoscopy
General Surgery
Lymphatic system
Medical prognosis
Melanoma
Metastasis
Oncology
Patients
Veins & arteries
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Summary:This article discusses acral melanoma, a rare subtype of melanoma often presented at the later stages of the disease and is, thus, associated with poor survival rates, especially in patients with a lower socioeconomic status. Surgical resection is the primary treatment option for localized acral melanoma, while amputation is often necessary for tumors on the digits or the midfoot. Lymphadenectomy may be necessary for patients with regional lymph node involvement; however, the therapeutic role of dissection remains controversial. Here, we present the case of a 68-year-old man with acral melanoma who underwent a Lisfranc amputation and endoscopic groin lymph node dissection for ganglionic metastasis. In Ecuador, this is the first reported case of endoscopic groin lymphadenectomy for regional lymph node metastasis secondary to acral melanoma. The discussion explores the role of sentinel lymph node biopsy and the completion of lymph node dissection in managing regional lymph nodes in melanoma patients. This case study aims to contribute to the growing knowledge on acral melanoma, assess the need for better patient care, and analyze the role of minimally invasive techniques for inguinal lymph node dissections.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.40136