Bone and liver imaging in regionally advanced melanoma

The clinical records of 94 patients with regionally advanced melanoma (nodal disease or regional satellites) were reviewed to determine the value of preoperative bone and liver imaging. Of 68 bone scans obtained, none were suggestive of metastases. of 97 liver imaging studies (computed tomography, s...

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Bibliographic Details
Published inJournal of surgical oncology Vol. 42; no. 4; p. 225
Main Authors Salwen, W A, Krementz, E T, Campeau, R J
Format Journal Article
LanguageEnglish
Published United States 01.12.1989
Subjects
Alkaline Phosphatase - blood
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - secondary
Female
Humans
Liver Neoplasms - diagnostic imaging
Liver Neoplasms - secondary
Male
Melanoma - diagnostic imaging
Melanoma - secondary
Middle Aged
Radionuclide Imaging
Skin Neoplasms
Technetium Tc 99m Medronate
Technetium Tc 99m Sulfur Colloid
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Summary:The clinical records of 94 patients with regionally advanced melanoma (nodal disease or regional satellites) were reviewed to determine the value of preoperative bone and liver imaging. Of 68 bone scans obtained, none were suggestive of metastases. of 97 liver imaging studies (computed tomography, scintiscan, or sonography) in 88 patients, only two were found to have demonstrable metastases. Liver enzyme elevation was present in both of these patients. Bone and liver imaging in the absence of signs or symptoms of dissemination by history, physical examination, chest x-ray, and enzyme determination for regionally advanced melanoma appears to be of little value unless the patient is involved in a protocol study.
ISSN:0022-4790
DOI:10.1002/jso.2930420405