{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:10:05Z","timestamp":1756314605878,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2025,7,8]],"date-time":"2025-07-08T00:00:00Z","timestamp":1751932800000},"content-version":"unspecified","delay-in-days":7,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,6,12]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>Sentinel lymph node biopsy is imperative in the management of melanoma and allows for accurate histological assessment of nodal basins in stage 1B disease, or greater. Indocyanine green (ICG) represents a somewhat novel localisation modality that may confer a decreased risk of anaphylaxis and reduced risk of skin discolouration. A middle childhood (6\u201311 years) boy with a 3-month history of a new, pigmented, right cheek lesion was referred for evaluation. Excisional biopsy revealed a pigmented epithelioid melanocytoma.<\/jats:p>\n               <jats:p>After the MDM discussion, a WLE and sentinel lymph node biopsy were recommended. The sentinel node was successfully identified using intraoperative ICG fluorescence imaging. There were no adverse outcomes such as skin staining or lack of dye uptake.<\/jats:p>\n               <jats:p>Although initially positive for nodal micrometastases, management consisted of clinical follow-up with 3\u2009monthly ultrasound scans of the neck. To date, there is no evidence of recurrence.<\/jats:p>","DOI":"10.1136\/bcr-2025-265050","type":"journal-article","created":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T04:00:32Z","timestamp":1754884832000},"page":"e265050","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Indocyanine green fluorescence imaging in the identification of sentinel lymph node in melanoma"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5726-710X","authenticated-orcid":false,"given":"William","family":"Murray","sequence":"first","affiliation":[{"name":"Plastic Surgery, Galway University Hospitals, Galway, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nauar","family":"Knightly","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Galway University Hospitals, Galway, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharon","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Galway University Hospital, Galway, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jack","family":"Kelly","sequence":"additional","affiliation":[{"name":"Plastic Surgery, Galway University Hospitals, Galway, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"key":"2025082709312612000_18.7.e265050.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.h3708","article-title":"Melanoma: summary of NICE guidance","volume":"351","author":"Macbeth","year":"2015","journal-title":"BMJ"},{"key":"2025082709312612000_18.7.e265050.2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-012-2469-1"},{"key":"2025082709312612000_18.7.e265050.3","doi-asserted-by":"publisher","DOI":"10.1007\/s00259-009-1228-4"},{"key":"2025082709312612000_18.7.e265050.4","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1097\/SLA.0000000000001187","article-title":"Localization of the Sentinel Lymph Node in Melanoma Without Blue Dye","volume":"263","author":"Hu","year":"2016","journal-title":"Ann Surg"},{"key":"2025082709312612000_18.7.e265050.5","doi-asserted-by":"crossref","first-page":"595","DOI":"10.1016\/j.bjoms.2024.04.012","article-title":"Efficacy of indocyanine green fluoroscopy for sentinel node biopsy in head and neck melanoma: a systematic review and meta-analysis","volume":"62","author":"Hotchkies","year":"2024","journal-title":"Br J Oral Maxillofac Surg"},{"key":"2025082709312612000_18.7.e265050.6","doi-asserted-by":"crossref","first-page":"836","DOI":"10.1097\/01.ccm.0000649188.19735.8f","article-title":"1722: ANAPHYLACTIC SHOCK FOLLOWED BY INDOCYANINE GREEN VIDEOANGIOGRAPHY IN NEUROSURGERY AND ICU CARE","volume":"48","author":"Kim","year":"2020","journal-title":"Crit Care Med"},{"key":"2025082709312612000_18.7.e265050.7","doi-asserted-by":"crossref","unstructured":"Frountzas M , Theodoropoulos C , Karathanasis P , et al . 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