Abstract

<h3>Study Objective</h3> To demonstrate the feasibility of inguinal sentinel lymph node detection in recurrent vulvar melanoma using ICG fluorescence technique. <h3>Design</h3> Radical local excision and sentinel lymph node biopsies for recurrent vulvar melanoma. The injection of ICG tracer was followed by visualization of sentinel lymph nodes using an Image1 S Rubina system (Karl Storz, Germany). <h3>Setting</h3> Tertiary hospital. <h3>Patients or Participants</h3> one patient, 17 months after primary surgical excision and sentinel lymph biopsy for vulvar malignant melanoma. <h3>Interventions</h3> Injection of ICG tracer around the border of the lesion. <h3>Measurements and Main Results</h3> Bilateral sentinel nodes were successfully identified and removed. <h3>Conclusion</h3> Detection of sentinel lymph nodes in recurrent vulvar melanoma is feasible. ICG tracer can be considered for sentinel mapping in recurrent vulvar cancer.

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