Tattoo pigment masquerading as secondary malignant melanoma

Hannah, H.; Falder, Sian; Steele, P. R. M.; Dhital, Sanjiv K.

doi:10.1054/bjps.2000.3346

Cited by 25 publications

(12 citation statements)

References 4 publications

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“…Clinically pigmented lymph nodes in the presence of cutaneous melanoma and tattoos have been reported previously either when a palpable lymph node was resected or when elective lymph node dissection was performed [8, 9, 10, 11]. This is the first report of tattoo pigment in a sentinel lymph node.…”

Section: Discussionmentioning

confidence: 72%

Tattoo Pigment Mimics Positive Sentinel Lymph Node in Melanoma

2001

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A 42-year-old man with metastasizing melanoma from an unknown primary is presented. Initially a subcutaneous metastasis in the scapular region and a single lung metastasis were resected. Thorough examinations did not show any evidence of a primary tumour. From the site of the metastasis on the right scapular region, lymphoscintigraphy with axillary sentinel lymph node biopsy was performed. One axillary lymph node could be identified intra-operatively with the gamma probe as sentinel node. The sentinel node and 4 adjacent lymph nodes clinically showed black pigmentation. However, histopathological examination of the lymph nodes did not detect micrometastases. The pigmentation of the lymph nodes was due to decorative tattoos of the scapular skin.

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Section: Discussionmentioning

confidence: 72%

Tattoo Pigment Mimics Positive Sentinel Lymph Node in Melanoma

2001

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“…MM has been reported to occur in tattoos, vaccination scars and tattoo sites used for radiotherapy field marking. To our knowledge, there are only 8 documented cases of MM after tattooing in the medical literature during the years reviewed (1991-2011), but there are several case reports on tattoo pigment in sentinel lymph node biopsies mimicking MM [4,8,48,49]. In all these cases, the migration of tattoo pigments via lymphatic drainage was initially considered as evidence for metastatic tumors until proper histopathological examination.…”

Section: Resultsmentioning

confidence: 99%

Adverse Reactions after Tattooing: Review of the Literature and Comparison to Results of a Survey

et al. 2013

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The number of tattooed people has substantially increased in the past years. Surveys in different countries reveal this to be up to 24% of the population. The number of reported adverse reactions after tattooing has also increased including infections, granulomatous and allergic reactions and tumors. However, the case reports do not reflect the frequency of adverse reactions. This review compares the medically documented adverse reactions published in 1991-2011 with the findings of a nation-wide survey that recently revealed the features and health problems associated with tattoos. To compare the data with the survey, the sex of patients was reported and the location and color of tattoos were evaluated. The results show clearly that colored tattoo inks are mainly responsible for adverse skin reactions and that tattoos on the extremities are involved most.

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“…As the tattoo represents a zone of darker colour that can hamper the detection of related or unrelated skin lesions in that area, the diagnosis of a melanoma within the borders of a tattoo can be extremely challenging for a dermatologist both at the clinical and at the dermatoscopic levels 46–50 …”

Section: Resultsmentioning

confidence: 99%

Tattoo removal by non‐professionals – medical and forensic considerations

Karsai

Krieger²,

Raulin

2010

Acad Dermatol Venereol

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Tattoos are common phenomena in the western world and the demand for their removal has become widespread in the recent years. The introduction of quality-switched lasers has provided an effective removal method that is increasingly being exploited by tattoo studios themselves. Dermatologists, however, are frequently confronted with complications and side effects of tattoo removals that were performed by non-professionals. The objective of this study is to assess potential risks and pitfalls of laser tattoo removal when performed by medical laymen. The methods followed are systematic and evidence-based review of the literature. Four major problem areas were identified: rare but potentially severe allergic or toxic effects of decomposition products of the tattoo pigments; bodily harm caused by out-of-specification usage of the laser devices; malignant disease that is obscured within the area of a tattoo and requires meticulous dermatological diagnosis; and insufficient pre-operative consultation of patients about the risks, side effects and realistic expectations on the therapeutic outcome. We came to a conclusion that tattoo laser removal by medical laymen is unacceptable from the point of view of patient safety and the laws need to ban this practice swiftly.

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Tattoo pigment masquerading as secondary malignant melanoma

Cited by 25 publications

References 4 publications

Tattoo Pigment Mimics Positive Sentinel Lymph Node in Melanoma

Tattoo Pigment Mimics Positive Sentinel Lymph Node in Melanoma

Adverse Reactions after Tattooing: Review of the Literature and Comparison to Results of a Survey

Tattoo removal by non‐professionals – medical and forensic considerations

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