Clinically misinterpreted melanoma metastases can correctly be diagnosed by ultrasound-guided fine needle aspiration cytology

被引：4

作者：

Schaefer-Hesterberg, Gregor ^{[1
]}

Van Akkooi, Alexander J. C. ^{[2
]}

Letsch, Anne ^{[3
]}

Roewert, Joachim ^{[1
]}

Blume-Peytavi, Ulrike ^{[1
]}

Keilholz, Ulrich ^{[3
]}

Voit, Christiane ^{[1
]}

机构：

[1] Charite, Dept Dermatol Venerol & Allergol, D-10117 Berlin, Germany

[2] Erasmus Univ, Med Ctr, Daniel den Hoed Canc Ctr, Dept Surg Oncol, NL-3000 DR Rotterdam, Netherlands

[3] Charite, Dept Hematol & Med Oncol, D-10117 Berlin, Germany

来源：

EUROPEAN JOURNAL OF DERMATOLOGY | 2011年 / 21卷 / 02期

关键词：

FNAC; lipoma; melanoma; metastases; ultrasound; NODE;

D O I：

10.1684/ejd.2011.1275

中图分类号：

R75 [皮肤病学与性病学];

学科分类号：

100206 ;

摘要：

Ultrasound-guided fine needle aspiration cytology (US-guided FNAC) of regional nodal basins is increasingly incorporated into the national follow-up schemes of high risk melanoma patients. In this paper we describe an additional added value of US-guided FNAC in the detection and verification of subcutaneous/in-transit metastases. A patient presented with a long lasting, smooth, movable node, close to the scar of the primary melanoma, mimicking a lipoma in every clinical follow-up. Ultrasound at once suspected a metastasis. FNAC was performed within one day of sampling in an outpatient setting, without side effects. A hypothesis of an auto-vaccination in this case could not be proven by examining the T-cell response. Despite the clinically benign aspect of this metastasis, US-guided FNAC can provide diagnosis within 1 day. FNAC is a rapid, cost-effective method, free of complications, of great value in the diagnosis of putative metastases.

引用

页码：238 / 241

页数：4

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