Back issues No.4 - 2001 / Case Report  
 
 

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First Report of Acral Lentiginous Melanoma Treated According to Result of Sentinel Lymph Node Biopsy in Taiwan
Cheng-Che E Lan, Ming-Feng Hou, Hsin-Su Yu, Gwo-Shing Chen, Shih-Tsung Cheng, Yu-Wen Chen
Dermatol Sinica 19: 282-287, 2001

A 40-year-old female with pigmented lesion on left index fingernail for decades came to our clinic due to recent pigmentation change on her nail. An incisional biopsy was done which revealed melanoma with 1.2mm thickness. Contemplating on the need of complete lymph node dissection and the use of interferon as an adjuvant therapy, we arranged preoperative lymphoscintigraphy which revealed dominant radio tracer uptake at axilla. Sentinel lymph node biopsy was done through the assistance of handheld gamma probe. Since the sentinel node revealed no malignant cell, resection of the primary lesion was done. No further treatment was suggested except regular follow-up at our clinic.

   
   
 
 
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