Advanced malignant melanoma during pregnancy: Technical description of sentinel lymph node biopsy followed by radical lymph node dissection [Melanoma maligno avançado durante a gravidez: Descrição técnica da biópsia de linfonodo sentinela seguida de linfadenectomia radical]
Wainstein A.J.A.,Alameda Ezequiel Dias |
Barbosa L.C.L.S.,Oncad Oncologia Cirurgica |
Kansaon M.,Oncad Oncologia Cirurgica |
Salome M.,Laboratorio Salome |
Drummond-Lage A.P.,Alameda Ezequiel Dias
Revista Brasileira de Saude Materno Infantil | Year: 2015
Introduction: melanoma is a very aggressive cancer, with increasing incidence, and is currently the fifth most common cancer in men and the sixth most common in women in the United States. Melanoma is not unusual in pregnancy, with an estimated occurrence rate of 1:1.000. Although not the most common cancer in pregnancy, melanoma is the tumor with the highest incidence of placenta and fetus metastases. Description: a 29-year-old lady, 4 weeks after conception underwent resection of an atypical pigmented lesion after a diagnosis of stage T4b melanoma. At 16 weeks she underwent a broad local excision and sentinel lymph node (SLN) biopsy. SLN was evaluated histologically and tested positive for melanoma. A radical axillary lymphadenectomy was performed on the patient without evidence of metastasis in any other LN. In the 40th week of pregnancy, labor was induced and a healthy newborn was delivered via cesarean. Discussion: melanoma management in pregnancy is more complex and requires multidisciplinary coordination, as well as extensive discussion with the patient and her family. We present a case report description in which treatment recommendations are established according to no pregnancy experience. © 2015, Instituto Materno Infantil Professor Fernando Figueira. All rights reserved.
Ribeiro D.M.C.,Alameda Ezequiel Dias |
Cerqueira P.C.,Alameda Ezequiel Dias |
Silveira D.,Alameda Ezequiel Dias |
Lana Siqueira S.L.,Alameda Ezequiel Dias |
And 6 more authors.
Journal of Morphological Sciences | Year: 2013
The rectus abdominal muscle is part of the anterior abdominal wall, having three to six bellies. In only one of the 106 dissections already made in the "Faculdade de Ciências Médicas de Minas Gerais" Anatomy Laboratory was found a male cadaver who did not have inferior venter of this muscle bilaterally. Instead, at the left side, was found a tendon that measured 5.5 cm laterally and 12 cm medially, and at the right side, there was the same variation with a 15.5 cm length tendon, rising in the upper branch of the pubis and crest pubis. Despite being a rare variation, individuals who have showed it have increased potential for physiological and surgical complications, in case they need interventions using inferior rectus abdominis muscle venter's snips.