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Malignant melanoma: impact of superficial US on management.

机译：恶性黑色素瘤：浅表性美国对管理的影响。

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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.
机译：目的：评估浅表超声检查（US）对黑素瘤临床治疗的影响。材料与方法：在33例皮肤黑色素瘤患者中，在局部复发或淋巴结转移高危区域进行了浅表超声检查。将影响类别分配给每个美国研究（n = 55）：类别3，美国增加了改变临床管理的信息;第2类，美国添加了不会更改管理的信息;类别1，未添加任何信息，管理保持不变;类别0，没有帮助或具有误导性。结果：22项美国研究（40％）属于类别3：检测无法触及的转移改变的手术疗法（n = 2），证明对化疗的药效学反应（n = 5）以及确定良性或恶性（n = 15） ）。 9个（16％）属于第2类：不可触及转移的识别未改变治疗。 22（40％）属于第1类：支持无转移的临床印象（n = 18）或有助于确认皮肤，皮下或淋巴结转移（n = 4）。 0类中有2个（4％）：未证实转移。结论：通过允许检测和表征肿块，指导活检和评估药效学反应，美国浅表影响了黑素瘤的治疗。

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