Mid-arm lymph nodes dissection for melanoma.
An interval node in the upper limb termed the mid-arm node was recently identified. However, its surgical anatomy remains unclear. We report a patient with metastatic melanoma of the mid-arm node and the epitrochlear node at 10 years after removal of the primary tumour from the forearm and therapeutic axillary lymph node dissection. The mid-arm node is located halfway up the upper arm on the medial intermuscular septum, at the site where the brachial vessels, the median nerve and the ulnar nerve run adjacent to each other. The mid-arm node lies adjacent to the basilic vein where lymphatic vessels ascend and converge. This is the first report regarding the surgical anatomy of the mid-arm node.
Department of Plastic and Reconstructive Surgery, Hamamatsu University School of Medicine, Handayama 1-20-1, Shizuoka 431-3192, Japan. masaofuj@mth.biglobe.ne.jp
Masao
M
Fujiwara
Ayano
A
Suzuki
Takahide
T
Mizukami
Takeshi
T
Nagata
Taisuke
T
Ito
Hidekazu
H
Fukamizu
D003952:Diagnostic Imaging; D005542:Forearm / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000473:pathology; D042601:Lymphatic Vessels / Q000473:pathology / Q000601:surgery*; D008297:Male; D008545:Melanoma / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*