Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Clin Radiol. 2011 Mar;66(3):224-36. doi: 10.1016/j.crad.2010.10.014. Epub 2011 Jan 9.
The incidence of melanoma has been steadily increasing. Imaging plays an important role in tumour assessment as metastatic melanoma can involve multiple organs. Computed tomography (CT) is currently the most widely used technique for tumour staging, surveillance and assessment of therapeutic response, but ultrasound, magnetic resonance imaging (MRI) and positron-emission tomography (PET)-CT also play important roles in the imaging of this tumour. In this article, we review the pathways of spread, staging according to the recently updated TNM classification, pathology, typical and atypical imaging features at common and uncommon sites, and treatment of metastatic melanoma.
黑色素瘤的发病率一直在稳步上升。影像学在肿瘤评估中起着重要作用，因为转移性黑色素瘤可能涉及多个器官。计算机断层扫描（CT）目前是肿瘤分期、监测和治疗反应评估最广泛使用的技术，但超声、磁共振成像（MRI）和正电子发射断层扫描（PET-CT）在该肿瘤的成像中也起着重要作用。本文综述了黑色素瘤的播散途径、根据最新的 TNM 分类进行分期、病理学、常见和不常见部位的典型和非典型影像学特征以及转移性黑色素瘤的治疗。
