Tag Archives: skin cancer

PUBLISHED: Wide Local Excision of an Intermediate-Thickness Back Melanoma with a Sentinel Lymph Node Biopsy of Left Axillary Lymph Nodes

Wide Local Excision of an Intermediate-Thickness Back Melanoma with a Sentinel Lymph Node Biopsy of Left Axillary Lymph Nodes
Kailan Sierra-Davidson, MD, DPhil1Ogonna N. Nnamani Silva, MD2Sonia Cohen, MD, PhD1
1Massachusetts General Hospital
2Brigham and Women’s Hospital

Wide local excision (WLE) with sentinel lymph node biopsy (SLNB) remains the cornerstone for treatment of patients with intermediate-thickness and thick melanoma lesions with clinically negative nodes. This procedure involves resection of the melanoma with circumferential margins including all the subcutaneous tissue to the level of the deep fascia. WLE is accompanied by lymphatic mapping in order to localize, resect, and analyze the sentinel node(s) for the presence of lymph node metastases. In this paper with accompanying animation and video, a 40-year-old otherwise healthy patient presents with a new melanoma on his back diagnosed via biopsy. The surgical management of intermediate-thickness melanoma and rationale for treatment are reviewed, and recent advances in postoperative treatment of those with clinically occult regional disease are highlighted.

PREPRINT RELEASE: Squamous Cell Carcinoma Excision from Right Forearm with Split-Thickness Skin Graft from the Thigh

Squamous Cell Carcinoma Excision from Right Forearm with Split-Thickness Skin Graft from the Thigh
Hospital Leonardo Martinez, Honduras

Geoffrey G. Hallock, MD
Plastic Surgery Consultant
Sacred Heart Campus, St. Luke’s Hospital
Allentown, Pennsylvania

In this case, Dr. Hallock performs a right forearm squamous cell carcinoma excision followed by a split-thickness skin graft from the thigh. It was filmed in Honduras on a surgical mission with the World Surgical Foundation.