Schäfer-Hesterberg Gregor, Schoengen Alfred, Sterry Wolfram, Voit Christiane
Department of Dermatology, Venerology & Allergy, Charité - Universitätsmedizin Berlin Charitéplatz 1, 10117 Berlin, Germany.
Expert Rev Anticancer Ther. 2007 Dec;7(12):1707-16. doi: 10.1586/14737140.7.12.1707.
Specialized medical centers perform high-resolution ultrasound of lymph nodes in melanoma patients to detect metastases early. Ultrasound represents a highly effective method for the discrimination of lymph node and soft-tissue metastases from other space-occupying lesions. Frequent follow-up examinations with ultrasound provide early detection of tumor recurrences and seem to lead to a prolonged overall survival. The ultrasound findings are validated by fine-needle aspiration cytology. Depicted and verified metastases should be removed as soon as possible. The authors recommend the performance of ultrasound before every sentinel lymph node dissection to avoid unnecessary operations.
专业医疗中心会对黑色素瘤患者进行淋巴结的高分辨率超声检查,以便早期发现转移灶。超声是一种非常有效的方法,可用于鉴别淋巴结和软组织转移灶与其他占位性病变。频繁进行超声随访检查可早期发现肿瘤复发,似乎能延长总生存期。超声检查结果通过细针穿刺细胞学检查进行验证。对于已显示并经证实的转移灶,应尽快予以切除。作者建议在每次前哨淋巴结清扫术前进行超声检查,以避免不必要的手术。