Sydney Medical School, The University of Sydney, NSW Australia.
J Surg Oncol. 2011 Sep;104(4):354-60. doi: 10.1002/jso.21963.
It has been suggested that ultrasound examination of regional lymph nodes provides staging and prognostic information that is as accurate as sentinel node biopsy in patients who present with cutaneous melanoma. However, in most studies the sensitivity of ultrasound in detecting nodal metastasis has been low (23% in a recent large series). For the present, sentinel node biopsy remains the most accurate method of regional node staging in patients with newly diagnosed melanoma.
有观点认为，对于患有皮肤黑色素瘤的患者，超声检查区域淋巴结可提供与前哨淋巴结活检同样准确的分期和预后信息。然而，在大多数研究中，超声检测淋巴结转移的敏感性较低（最近的一项大型研究中为 23%）。目前，前哨淋巴结活检仍然是诊断为新发黑色素瘤的患者进行区域淋巴结分期的最准确方法。
