Lymphatic drainage from peri-umbilical skin to internal mammary nodes

While performing lymphoscintigraphy to define draining lymph node groups and sentinel nodes in patients with melanoma, the authors have discovered a new lymphatic channel in two patients with tumors in the peri-umbilical area. This channel passes over the right costal margin to an interval node befo...

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Bibliographic Details
Published in:Clinical nuclear medicine 1995-03, Vol.20 (3), p.254-255
Main Authors: UREN, R. F, HOWMAN-GILES, R. B, THOMPSON, J. F, SHAW, H. M, MCCARTHY, W. H
Format: Article
Language:English
Subjects:
Antimony
Biological and medical sciences
Blood cells
Colloids
Humans
Investigative techniques, diagnostic techniques (general aspects)
Lymph Nodes - diagnostic imaging
Lymphatic System - anatomy & histology
Lymphoscintigraphy
Male
Medical sciences
Melanoma - diagnostic imaging
Radionuclide investigations
Skin Neoplasms - diagnostic imaging
Technetium Compounds
Umbilicus
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Description
Summary:While performing lymphoscintigraphy to define draining lymph node groups and sentinel nodes in patients with melanoma, the authors have discovered a new lymphatic channel in two patients with tumors in the peri-umbilical area. This channel passes over the right costal margin to an interval node before passing toward the midline, where it passes through the chest wall to reach the internal mammary lymph node chain. Appreciating the possible presence of this channel in patients with periumbilical lesions has important implications for the surgical management and follow-up of these patients.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-199503000-00013