Variability of Sentinel Lymph Node Location in Patients with Trunk Melanoma Article Swipe
Florin Bobîrcă
,
Mihaela Leventer
,
D. Georgescu
,
D. Dumitrescu
,
Cristina Alexandru
,
Dragoş Şerban
,
Liana Văleanu
,
Traian Pătraşcu
,
Anca Bobîrcă
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics13172790
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/diagnostics13172790
(1) Background: Melanoma is one of the most aggressive types of neoplasia, and the management of this pathology requires a correct staging, as well as a personalized modern oncological treatment. The main objective of the study is to determine the variability of the lymphatic drainage for patients with melanomas located on the trunk and, secondarily, to determine the features of individuals who underwent sentinel lymph node biopsy (SLNB) depending on the exact location on the trunk. (2) Methods: This retrospective, observational, single-center study included 62 cases of trunk melanoma operated between July 2019 and March 2023, in which SLNB was performed and a total of 84 lymph nodes were excised. (3) Results: Patients had a median age of 54.5 (33–78) years, with 58.1% being male; the melanomas had a median Breslow index of 2.3 (0.5–12.5) mm. Approximately 64.3% of the cohort had melanoma on the upper part of the trunk (54 cases) and 35.7% had it on the lower part (30 cases). The type of anesthesia chosen was general anesthesia in 53 cases and spinal anesthesia in 9 cases (85.5% vs. 14.5%, p < 0.001). The number of sentinel lymph nodes excised was 54 for melanomas located on the upper part of the trunk (8 cervical and 46 axillary) and 30 sentinel lymph nodes for melanomas of the lower part of the trunk (16 at the axillary level and 14 at the inguinal level). Out of the 54 LNs identified in patients with melanoma on the upper part of the trunk, 13 were positive, with a total of 12 positive lymph nodes (LNs) from the axillar basin, and only one from the cervical region. Additionally, the incidence of patients with a minimum of two identified sentinel lymph nodes was 32.2%, with a total of seven having LN involvement in two basins, and only one of these cases showed positivity for malignancy. (4) Conclusions: SLNBs were more frequent in the axillary region overall, and had more positive SLNs. Moreover, melanoma on the upper part of the trunk had a higher rate of positive SLNs compared to the lower part. Tumors located on the lower part of the truck had more positive SLNs in the axillary region than in the inguinal one.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/diagnostics13172790
- https://www.mdpi.com/2075-4418/13/17/2790/pdf?version=1693288654
- OA Status
- gold
- Cited By
- 2
- References
- 32
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386250885
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386250885Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/diagnostics13172790Digital Object Identifier
- Title
-
Variability of Sentinel Lymph Node Location in Patients with Trunk MelanomaWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2023Year of publication
- Publication date
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2023-08-29Full publication date if available
- Authors
-
Florin Bobîrcă, Mihaela Leventer, D. Georgescu, D. Dumitrescu, Cristina Alexandru, Dragoş Şerban, Liana Văleanu, Traian Pătraşcu, Anca BobîrcăList of authors in order
- Landing page
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https://doi.org/10.3390/diagnostics13172790Publisher landing page
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https://www.mdpi.com/2075-4418/13/17/2790/pdf?version=1693288654Direct link to full text PDF
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2075-4418/13/17/2790/pdf?version=1693288654Direct OA link when available
- Concepts
-
Medicine, Sentinel lymph node, Melanoma, Trunk, Lymph, Biopsy, Surgery, Lymph node, Retrospective cohort study, Lymphatic system, Radiology, Pathology, Breast cancer, Internal medicine, Cancer, Biology, Ecology, Cancer researchTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
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2025: 1, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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32Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.Approximately | 136 |
| abstract_inverted_index.single-center | 81 |
| abstract_inverted_index.observational, | 80 |
| abstract_inverted_index.retrospective, | 79 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5025913456, https://openalex.org/A5051159488 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 9 |
| corresponding_institution_ids | https://openalex.org/I162051807, https://openalex.org/I4210110620 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.7400000095367432 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.75183179 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |