Table of Contents
ISRN Dermatology
Volume 2014, Article ID 920349, 4 pages
Clinical Study

Increasing the Efficacy of SLNB in Cases of Malignant Melanoma Located in Close Proximity to the Lymphatic Basin

Division of Plastic and Reconstructive Surgery, Soroka University Medical Center, Ben-Gurion University, P.O. Box 151, 85101 Beer Sheva, Israel

Received 10 December 2013; Accepted 3 January 2014; Published 10 February 2014

Academic Editors: M. Feinmesser and A. Tosca

Copyright © 2014 Alexander Bogdanov-Berezovsky et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Being predictive of the entire nodal bed, sentinel lymph node biopsy (SLNB) is invaluable in the surgical management of melanoma. Although the concept is simple, sentinel lymph node (SLN) identification and removal can be technically challenging. Methods. A total of 102 consecutive patients have undergone SLNB in the Division of Plastic and Reconstructive Surgery of Soroka University Medical Center from 2009 to 2012. Patients have undergone SLNB using a radioactive tracer and blue stain in order to identify the SLN. Although SLNB usually precedes the wide excision of melanoma, primary lesions in close proximity ( 10 cm) to the lymph basin require wide excision before beginning the SLN quest. Results. All pathology reports confirmed the excision of lymph nodes. Conclusions. When treating MM in close proximity to the lymph basin, changing the sequence of the SLNB procedure seems to increase the efficacy of the method.