PMC3350220_01
Keloid appearance at presentation. (methylene blue injection for sentinel lymph node biopsy).
CRIM.SURGERY2012-165319.001.jpg
PMC3350220_01_CRIM.SURGERY2012-165319.001.jpg
fig1
Thus, a two-stage surgical procedure was performed with initial resection of the primary site including the entire keloid with 2 cm margins and bilateral axillary sentinel node biopsy (Figures 1, 2, and 3).
Surgical defect measuring 145 cm2.
CRIM.SURGERY2012-165319.002.jpg
PMC3350220_01_CRIM.SURGERY2012-165319.002.jpg
fig2
Thus, a two-stage surgical procedure was performed with initial resection of the primary site including the entire keloid with 2 cm margins and bilateral axillary sentinel node biopsy (Figures 1, 2, and 3).
Axillary sentinel lymph node biopsy.
CRIM.SURGERY2012-165319.003.jpg
PMC3350220_01_CRIM.SURGERY2012-165319.003.jpg
fig3
Thus, a two-stage surgical procedure was performed with initial resection of the primary site including the entire keloid with 2 cm margins and bilateral axillary sentinel node biopsy (Figures 1, 2, and 3).
(a) Surgical specimen for pathology. (b) Desmoplastic melanoma (left arrow) and dermal scar (right arrow). (c) High-power view of desmoplastic melanoma.
CRIM.SURGERY2012-165319.004.jpg
PMC3350220_01_CRIM.SURGERY2012-165319.004.jpg
fig4
Final pathology revealed desmoplastic melanoma occurring in the keloid with clear radial margins and a deep margin within 0.1 cm of the resection (Figures 4(a), 4(b), and 4(c)).
Partial-thickness skin graft after complete healing.
CRIM.SURGERY2012-165319.005.jpg
PMC3350220_01_CRIM.SURGERY2012-165319.005.jpg
fig5
The partial thickness skin graft had a 100% take (Figure 5).