Surgical treatment of primary melanoma of the umbilicus with sentinel lymph node biopsy and plastic reconstruction: case report and review of the literature

A Zaccagna; D Siatis; A Pisacane; E Giacone; F Picciotto

doi:10.1016/j.ejso.2010.09.015

Surgical treatment of primary melanoma of the umbilicus with sentinel lymph node biopsy and plastic reconstruction: case report and review of the literature

Eur J Surg Oncol. 2011 Mar;37(3):233-6. doi: 10.1016/j.ejso.2010.09.015. Epub 2010 Oct 18.

Authors

A Zaccagna¹, D Siatis, A Pisacane, E Giacone, F Picciotto

Affiliation

¹ Operative Unit of Surgical Dermatology, Institute for Cancer Research and Treatment, I.R.C.C., Candiolo, Italy.

PMID: 20961729
DOI: 10.1016/j.ejso.2010.09.015

Abstract

AIMS, PATIENTS AND METHODS: The umbilical melanoma is rare, and the surgical treatment can create difficulties for both radical excision and plastic reconstruction. Our aims are to present a case of primary melanoma of the umbilicus and to discuss the best surgical treatment, as well as review the relevant literature.

Results: Surgical excision of primary melanoma of the umbilicus must be carried out to reach the peritoneum. Sentinel lymph node biopsy must be carried as well as plastic reconstruction.

Conclusion: Despite the progress in new medical therapy for melanoma, suitable surgical excision is, at present, the only treatment able to improve patient prognosis. In this report we describe the surgical treatment and plastic reconstruction of a case of umbilical melanoma.

Publication types

Case Reports
Review

MeSH terms

Female
Humans
Melanoma / pathology*
Melanoma / surgery*
Middle Aged
Plastic Surgery Procedures
Sentinel Lymph Node Biopsy*
Skin Neoplasms / pathology*
Skin Neoplasms / surgery*
Umbilicus / pathology*
Umbilicus / surgery*