Malignant Melanoma
Author(s) -
A. Ortega Candil,
Cristina Rodríguez Rey,
José Luis Carreras Delgado
Publication year - 2012
Publication title -
isrn dermatology
Language(s) - English
Resource type - Journals
eISSN - 2090-4606
pISSN - 2090-4592
DOI - 10.5402/2012/308279
Subject(s) - medicine , melanoma , sentinel lymph node , positron emission tomography , radiology , biopsy , cancer staging , sentinel node , lymphatic system , lymph node , cancer , nuclear medicine , pathology , breast cancer , cancer research
Nuclear medicine plays an essential role in the correct staging of patients suffering from melanoma. Both sentinel lymph node biopsy (SLNB) and positron emission tomography (PET) represent its main diagnostic tools. SLNB is the choice procedure for lymphatic regional staging of these patients, including the result of this technique in the 2002 American Joint Cancer Committee melanoma staging. SLNB sensitivity is superior than PET/CT for the detection of lymphatic micrometastases in early stages of the disease. PET/CT is mainly used in confirming clinical metastases suspected, detection of recurrences, and recurrence restaging. PET/CT has also shown superiority against conventional diagnostic methods in the detection of distant metastases, being able to detect illness even six months earlier than those methods.
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