PMID: 9542517Apr 18, 1998Paper

Computed tomography for the detection of neck node metastases in melanoma patients

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
M W van den BrekelA J Balm

Abstract

To assess the value of CT scanning for detection of lymph node metastases in the neck. The appearance and site of the metastases was studied, as well as the sensitivity and specificity of CT. Nodal metastases did not always show a high contrast uptake and nodal density therefore cannot be used as a criterion for metastasis. Irregular contrast enhancement was seen in seven of the 21 tumour-positive necks. Frequently, metastases in the parotids, superficial nodes in the neck and in the posterior triangle were seen. The sensitivity and specificity of palpation and CT scanning were 87 and 100%, respectively. However, because small, clinically occult, melanoma metastases were frequently overlooked on CT, the role of this imaging modality in assessing occult metastases remains limited. Based on recent data from literature it is reasonable to speculate that ultrasound guided fine needle aspiration cytology (FNAC) will prove to be more effective than a non-invasive staging procedure of the neck in melanoma patients.

References

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Citations

Dec 10, 1999·Head & Neck·L JansenB B Kroon
Feb 12, 2000·Seminars in Roentgenology·M W van den Brekel, J A Castelijns
Jul 11, 2003·Critical Reviews in Oncology/hematology·Filippo de BraudNatale Cascinelli
Dec 20, 2005·Cancer Imaging : the Official Publication of the International Cancer Imaging Society·Michiel W M van den Brekel, Jonas A Castelijns
Mar 25, 2014·Oral and Maxillofacial Surgery Clinics of North America·Jonathan W Shum, Eric J Dierks
Jun 19, 2013·Seminars in Ultrasound, CT, and MR·Craig P GiacominiLewis K Shin
Oct 20, 2004·Seminars in Nuclear Medicine·Kent P Friedman, Richard L Wahl
Apr 6, 2004·Facial Plastic Surgery Clinics of North America·Elizabeth A Grasee, Jeffrey D Wagner
Jul 2, 2019·The Cochrane Database of Systematic Reviews·Jacqueline DinnesUNKNOWN Cochrane Skin Cancer Diagnostic Test Accuracy Group

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