Lymphoscintigraphy with Tc-99m antimony sulfur colloid was performed o
n a patient with cutaneous melanoma of the left forearm to define the
sentinel nodes before surgery, The patient was found to have direct ly
mphatic drainage from the left forearm through a clearly seen lymph ch
annel to a sentinel lymph node in the left supraclavicular fossa, and
drainage through a separate channel to two sentinel nodes in the left
axilla, Surprising patterns of lymphatic drainage can be seen from the
forearm, as well as other parts of the skin, and lymphoscintigraphy w
ill enable such patients to be identified before sentinel node biopsy.