Tattoo pigment interpreted as lymph node metastasis in a case of subungual melanoma.
We present a patient with subungual melanoma of the thumb who, during radioisotope-guided selective sentinel lymphadenectomy, was found to have black, hard lymph nodes at multiple axillary node levels. This finding was interpreted intraoperatively as clinical evidence of metastasis and a formal axillary dissection was carried out. Pathological examination of excised nodes failed to demonstrate metastasis but instead showed collections of tattoo pigment.
Peterson
Steven L
SL
Hand Surgery Section, Departments of Orthopedics and Surgery, Denver Health Medical Center and University of Colorado Health Sciences Center, Denver, CO, USA. slpdvmmd@aol.com
Lee
Lela A
LA
Ozer
Kagan
K
Fitzpatrick
James E
JE
Plast Reconstr Surg. 2001 Oct;108(5):1458-9
11604677
Eur J Radiol. 2006 Jun;58(3):338-44
16473489
Plast Reconstr Surg. 2004 Apr 1;113(4):1304-7
15083062
Clin Orthop Relat Res. 2000 Sep;(378):206-12
10986996
J Clin Oncol. 2001 Aug 15;19(16):3622-34
11504744
J Clin Pathol. 2006 Aug;59(8):891-2
16873576
J Clin Oncol. 2001 Aug 15;19(16):3635-48
11504745
Surg Clin North Am. 2003 Feb;83(1):109-56
12691453
Surg Clin North Am. 2003 Feb;83(1):157-85, vii
12691454
Dermatology. 2001;203(4):342-4
11752827
Dermatol Online J. 2005 Mar 01;11(1):14
15748555
Dermatol Surg. 1996 Jan;22(1):92-4
8556264
Plast Reconstr Surg. 2003 May;111(6):2120-2
12711995
J Am Acad Dermatol. 2007 May;56(5):835-47
17320240
Clin Cancer Res. 2006 Apr 1;12(7 Pt 2):2320s-2325s
16609052
Plast Reconstr Surg. 1986 Jan;77(1):138-40
3941836