Abstract

ROSARIO REGALADO, R. del et al. Cutaneous melanoma of the face with sentinel node in parotid region: Revision of the literature. Rev Esp Cirug Oral y Maxilofac [online]. 2007, vol.29, n.1, pp.49-56. ISSN 2173-9161.

Introduction. The parotid gland is the first lymph node echelon in the regional dissemination of frontal, orbital and nasal cutaneous melanomas. Although the lymphoscintigraphy has been become a standard diagnostic technique for studying melanomas, it is not exempt of inconveniences. Material and methods. We present the case of a patient with frontal melanoma and sentinel nodes in the parotid region, and we discuss the peculiarities, advantages and disadvantages of using this technique in this region. Conclusions. Although it has been proved that an affected sentinel lymph node is the most important prognostic factor for recurrence and survival, we believe that this is a technique under study, and that its influence on survival should be demonstrated with regard to the alternative of clinical monitoring. It should therefore be indicated in specific cases with greater probabilities of metastases.

Keywords : Head and neck melanoma; Lymphoscintigraphy; Neck dissection; Parotidectomy.

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