STAGING OF MELANOMA

Imaging in primary melanoma is usually only appropriate in the context of clinical trials or if there is other evidence of metastatic disease. Definitive histology is of paramount importance with particular attention to Breslow microscopic thickness, Clark level of invasion and whether any regression is evident. Staging in early melanoma is feasible by clinical and pathological means alone. If regional nodal metastases are evident, chest X-ray, liver function tests and computed tomography scanning of thorax or abdomen and pelvis are the most rewarding modalities. Once distant metastases have occurred full staging is essential before undertaking major intervention and will include the abone along with the investigation most relevant to the particular symptoms. This limited role for imaging will not alter until the advent of a successful systemic therapy for melanoma. © 1993, All rights reserved.