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The role of preoperative ultrasound scan in detecting lymph node metastasis before sentinel node biopsy in melanoma patients
Journal of surgical oncology, 2003-06, Vol.83 (2), p.80-84
Riccardo Rossi, Carlo
Mocellin, Simone
Scagnet, Barbara
Foletto, Mirto
Vecchiato, Antonella
Pilati, Pierluigi
Tregnaghi, Alberto
Zavagno, Giorgio
Stramare, Roberto
Rubaltelli, Leopoldo
Montesco, Cristina
Borsato, Simonetta
Rubello, Domenico
Lise, Mario
2003
Details
Autor(en) / Beteiligte
Riccardo Rossi, Carlo
Mocellin, Simone
Scagnet, Barbara
Foletto, Mirto
Vecchiato, Antonella
Pilati, Pierluigi
Tregnaghi, Alberto
Zavagno, Giorgio
Stramare, Roberto
Rubaltelli, Leopoldo
Montesco, Cristina
Borsato, Simonetta
Rubello, Domenico
Lise, Mario
Titel
The role of preoperative ultrasound scan in detecting lymph node metastasis before sentinel node biopsy in melanoma patients
Ist Teil von
Journal of surgical oncology, 2003-06, Vol.83 (2), p.80-84
Ort / Verlag
Hoboken: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2003
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
Background and Objectives To evaluate the efficacy of preoperative ultrasound (US) scanning in identifying lymph node metastasis before sentinel node biopsy (SNB), we conducted a prospective study on 125 patients with primary cutaneous melanoma (CM). Methods We prospectively enrolled 125 patients with >1 mm thick CM and candidate for SNB. Preoperatively, patients underwent US scanning of regional lymphatic basins and FNA of suspected lymph nodes (LN). All patients underwent lymphatic mapping and SNB. Results Combined with fine‐needle aspirate (FNA) of suspect LN, US scan allowed the correct preoperative detection of 12 out of 31 histologically positive lymphatic basins, specificity and sensitivity being 100 and 39%, respectively. The false negative rate (61%) was mainly linked to tumor deposits less than 2 mm in diameter, which can be considered the current spatial resolution limit of this technique. Conclusions Preoperative US scan could reduce the number of SNB, thus avoiding the stress of this surgical procedure in ∼10% of patients and reducing health care costs. As a non‐invasive and relatively inexpensive technique, lymph node US scan can be part of the preoperative staging process of patients' candidate for SNB in order to avoid unnecessary surgical procedures. J. Surg. Oncol. 2003;83:80–84. © 2003 Wiley‐Liss, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 0022-4790
eISSN: 1096-9098
DOI: 10.1002/jso.10248
Titel-ID: cdi_proquest_miscellaneous_754562814
Format
–
Schlagworte
Biological and medical sciences
,
Biopsy, Needle
,
Dermatology
,
Female
,
Humans
,
Lymph Node Excision
,
lymph node metastasis
,
Lymph Nodes - diagnostic imaging
,
Lymph Nodes - pathology
,
Lymphatic Metastasis - diagnostic imaging
,
Male
,
Medical sciences
,
melanoma
,
Melanoma - diagnostic imaging
,
Melanoma - secondary
,
Predictive Value of Tests
,
Prospective Studies
,
Sensitivity and Specificity
,
Sentinel Lymph Node Biopsy
,
sentinel node biopsy
,
Skin Neoplasms - diagnostic imaging
,
Skin Neoplasms - pathology
,
Tumors of the skin and soft tissue. Premalignant lesions
,
Ultrasonography
,
ultrasound scan
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