Sydney Medical School, The University of Sydney, Sydney, NSW, Australia.
J Surg Oncol. 2011 Sep;104(4):405-19. doi: 10.1002/jso.21770.
Melanoma has a high potential to develop metastases. Accurate staging is essential for appropriate management. Sentinel node (SN) status is a powerful prognostic factor in early stage melanoma. Staging is assisted by SN biopsy after lymphoscintigraphy to locate all true SNs prior to biopsy. PET using F18-FDG can detect metastases and is used to restage patients with AJCC Stages III and IV disease before planning surgery with curative intent.
黑色素瘤有很高的转移潜力。准确的分期对于适当的管理至关重要。前哨淋巴结 (SN) 状态是早期黑色素瘤的一个强有力的预后因素。通过淋巴闪烁显像后进行 SN 活检，可以在活检前定位所有真正的 SN，从而辅助分期。使用 F18-FDG 的 PET 可以检测转移，并用于在计划具有治愈意图的手术前对 AJCC 分期 III 和 IV 期疾病的患者进行再分期。
