Malignant melanoma: Impact of superficial US on management

被引:32
作者
Nazarian, LN [1 ]
Alexander, AA [1 ]
Rawool, NM [1 ]
Kurtz, AB [1 ]
Maguire, HC [1 ]
Mastrangelo, MJ [1 ]
机构
[1] THOMAS JEFFERSON UNIV HOSP,DEPT MED,PHILADELPHIA,PA 19107
关键词
melanoma; skin; US; soft tissues;
D O I
10.1148/radiology.199.1.8633159
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
PURPOSE: To evaluate the impact of superficial ultrasonography (US) on clinical management of melanoma. MATERIALS AND METHODS: Superficial US in areas at high risk for local recurrence or nodal metastases was performed in 33 patients with cutaneous melanoma. Impact categories were assigned to each US study (n = 55): category 3, US added information that altered clinical management; category 2, US added information that did not change management; category 1, no added information and management unchanged; category 0, not helpful or was misleading. RESULTS: Twenty-two US studies (40%) were category 3: detection of nonpalpable metastases altered surgical therapy (n = 2), demonstration of pharmacodynamic response to chemotherapy (n = 5), and determination of benignancy or malignancy (n = 15). Nine (16%) were category 2: identification of nonpalpable metastases did not alter management. Twenty-two (40%) were category 1: supported clinical impression of no metastases (n = 18) or helped confirm cutaneous, subcutaneous, or nodal metastases (n = 4). Two (4%) were category 0: missed proved metastases. CONCLUSION: Superficial US affected management of melanoma by allowing detection and characterization of masses, guidance of biopsy, and assessment of pharmacodynamic response.
引用
收藏
页码:273 / 277
页数:5
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