First Department of Radiology, National Cancer Institute, Fondazione G. Pascale, Via M. Semmola, I-80131, Naples, Italy.
AJR Am J Roentgenol. 2010 Mar;194(3):735-45. doi: 10.2214/AJR.09.2422.
This article reviews various aspects of locoregional spread of malignant cutaneous melanoma, as imaged with gray-scale sonography and Doppler techniques. The scenarios illustrated include disease staging (primary melanoma, satellite metastasis, in-transit metastasis, and lymphadenopathies), sentinel lymph node biopsy procedure, patient follow-up, recurrence detection, cutaneous metastasis, and sonographically guided intervention.
High-resolution sonography allows recognition of small, clinically-occult melanomatous foci. It plays a major role in locoregional staging and follow-up of patients with cutaneous melanoma.
本文回顾了恶性皮肤黑色素瘤的局部扩散的各个方面，包括灰阶超声和多普勒技术的影像学表现。本文所展示的内容包括疾病分期（原发性黑色素瘤、卫星转移、转移中的转移和淋巴结病）、前哨淋巴结活检程序、患者随访、复发检测、皮肤转移和超声引导下的介入治疗。
高分辨率超声能够识别小的、临床隐匿性的黑色素瘤病灶。它在皮肤黑色素瘤的局部分期和患者随访中起着重要作用。
