{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T06:10:08Z","timestamp":1756361408292,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,6,30]]},"abstract":"<jats:p>Sentinel lymph node biopsy (SLNB) is a critical component of melanoma management. Extensive prior surgery at the site of a primary melanoma is considered a relative contraindication for SLNB. While evidence suggests that SLNB may be performed accurately even in those patients who have undergone prior wide local excision, it is less clear whether patients who have undergone more extensive surgical procedures, particularly flap reconstructions, can benefit from this procedure. We report a case of a patient who had undergone surgical removal of a primary melanoma and subsequent reconstruction with a rotational flap in whom a SLNB was performed successfully, which revealed nodal metastasis, suggesting that SLNB may remain an appropriate option in carefully selected patients who have previously undergone extensive surgery at site of primary disease.<\/jats:p>","DOI":"10.1136\/bcr-2015-210762","type":"journal-article","created":{"date-parts":[[2015,7,14]],"date-time":"2015-07-14T04:29:10Z","timestamp":1436848150000},"page":"bcr2015210762","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Sentinel lymph node biopsy following a rotational flap"],"prefix":"10.1136","volume":"2015","author":[{"given":"Adam K","family":"Brys","sequence":"first","affiliation":[{"name":"Duke University School of Medicine, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle M","family":"Schneider","sequence":"additional","affiliation":[{"name":"Department of Pathology, Duke University Medical Center, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M Angelica","family":"Selim","sequence":"additional","affiliation":[{"name":"Department of Pathology, Duke University Medical Center, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul J","family":"Mosca","sequence":"additional","affiliation":[{"name":"Department of Surgery, Advanced Oncologic and GI Surgery, Duke University Medical Center, Durham, North Carolina, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,7,14]]},"reference":[{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.1","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1200\/JCO.1999.17.3.976","article-title":"Multi-institutional melanoma lymphatic mapping experience: the prognostic value of sentinel lymph node status in 612 stage I or II melanoma patients","volume":"17","author":"Gershenwald","year":"1999","journal-title":"J Clin Oncol"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.2","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2006.06.3198"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.3","doi-asserted-by":"publisher","DOI":"10.1002\/jso.10205"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.4","doi-asserted-by":"publisher","DOI":"10.1007\/s10434-999-0785-x"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.5","first-page":"432","article-title":"Sentinel lymph-node biopsy after previous wide local excision for melanoma","volume":"44","author":"McCready","year":"2001","journal-title":"Can J Surg"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.6","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.22320"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.7","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1245\/ASO.2005.05.016","article-title":"A nomogram that predicts the presence of sentinel node metastasis in melanoma with better discrimination than the American Joint Committee on Cancer staging system","volume":"14","author":"Wong","year":"2005","journal-title":"Ann Surg Oncol"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.8","doi-asserted-by":"publisher","DOI":"10.1016\/S1072-7515(99)00144-1"},{"key":"2025082722522060000_2015.jul14_1.bcr2015210762.9","doi-asserted-by":"publisher","DOI":"10.1097\/01.sap.0000136974.62109.01"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-210762","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:52:29Z","timestamp":1756360349000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-210762"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,7,14]]},"references-count":9,"alternative-id":["10.1136\/bcr-2015-210762"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-210762","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2015,7,14]]}}}