title: Sentinel node biopsy for staging of aggressive digital papillary adenocarcinoma.
abstract: BACKGROUND
  Aggressive digital papillary adenocarcinoma is a rare malignancy with a propensity for metastases and recurrence. The role of lymph node staging in this tumor is poorly defined. We describe the use of sentinel lymph node mapping and biopsy in staging this tumor.
  
  
  OBJECTIVE
  To describe and discuss the use of lymphatic mapping in staging aggressive digital papillary adenocarcinoma.
  
  
  METHODS
  Sentinel lymph node mapping and biopsy was performed after excision of an aggressive digital papillary adenocarcinoma of the toe.
  
  
  RESULTS
  Metastatic tumor cells were absent in sentinel lymph nodes by hematoxylin and eosin staining and immunocytochemistry analysis.
  
  
  CONCLUSIONS
  We describe the first reported case of staging lymph nodes in a patient with aggressive digital papillary adenocarcinoma utilizing sentinel lymph node mapping and biopsy.
authors.affiliation: Department of Surgery, Southern Illinois University School of Medicine, Springfield, Illinois 62794-9638, USA.
authors.forename: M P
authors.initials: MP
authors.lastname: Malafa
authors.forename: P
authors.initials: P
authors.lastname: McKesey
authors.forename: S
authors.initials: S
authors.lastname: Stone
authors.forename: S
authors.initials: S
authors.lastname: Dudley-Walker
authors.forename: C J
authors.initials: CJ
authors.lastname: Cockerell
mesh_terms: D000231:Adenocarcinoma, Papillary / Q000000981:diagnostic imaging / Q000473:pathology*; D000328:Adult; D001706:Biopsy; D005533:Foot Dermatoses / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000473:pathology*; D008207:Lymphatic Metastasis; D008297:Male; D009367:Neoplasm Staging; D011859:Radiography; D011877:Radionuclide Imaging; D014034:Toes