Utility of PET/CT in patients with stage I-III melanoma

被引:9
作者
Aviles Izquierdo, J. A. [1 ]
Molina Lopez, I. [1 ]
Sobrini Morillo, P. [2 ]
Marquez Rodas, I. [3 ,4 ]
Mercader Cidoncha, E. [5 ]
机构
[1] Hosp Gen Univ Gregorio Maranon, Serv Dermatol, Calle Dr Esquerdo 46, Madrid 28007, Spain
[2] Univ Complutense Madrid, Fac Med, Madrid, Spain
[3] Hosp Gen Univ Gregorio Maranon, Serv Oncol Med, Madrid, Spain
[4] Ciberonc, Madrid, Spain
[5] Hosp Gen Univ Gregorio Maranon, Serv Cirugia Gen, Madrid, Spain
关键词
Melanoma; Diagnosis; Staging; PET; CT; Sentinel lymph node biopsy; Complete lymph node dissection; Skin metastases; F-18-FDG PET/CT; TOMOGRAPHY; CT;
D O I
10.1007/s12094-019-02252-2
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Purpose To study the utility of positron emission tomography with computerized tomography (PET/CT) in patients with a stage I-III melanoma. Patients and methods PET/CT findings from all patients with a stage I-III melanoma attended at our hospital from September 2011 to November 2015 were reviewed. Results Data from 83 patients with a stage I-III melanoma, 39 patients with a positive sentinel lymph node biopsy (SLNB) and 35 patients with locoregional recurrences were analyzed. Sensitivity of PET/CT in clinical stage I-III patients was 5%, with a 14% of false positives. In patients with a positive SLNB, PET/CT previous to complete lymph node dissection had a 23% of false negatives. In patients with clinical locoregional recurrences, PET/CT findings revealed asymptomatic visceral distant metastasis in 25.7%. Conclusions PET/CT has a significant rate of false positive and negative results in patients with a stage I-III melanoma. Utility in patients with nodal locoregional recurrences seems higher than in patients with skin metastases.
引用
收藏
页码:1414 / 1417
页数:4
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