Meyer J E, Stolbach L
Cancer. 1978 Jul;42(1):125-6. doi: 10.1002/1097-0142(197807)42:1<125::aid-cncr2820420121>3.0.co;2-7.
During a four year period, 53 patients with malignant melanoma underwent extensive pretreatment radiographic evaluation for detection of occult extranodal metastatic disease. This included chest x-ray with tomography, upper G.I. series with small bowel follow through, barium enama, intravenous pyelogram, and radio-nuclide scans of the brain, liver and bone. All occult metastatic disease in asymptomatic patients was discovered on routine chest x-ray examination. There were three false positive examinations, which necessitated further diagnostic tests but there was no change in the final treatment decision. There was no alteration in the management of the remainder of the patients on the basis of the pretreatment radiographic evaluation.
在四年期间,53例恶性黑色素瘤患者接受了广泛的治疗前影像学评估,以检测隐匿性结外转移性疾病。这包括胸部断层X线摄影、上消化道系列检查及小肠钡剂造影、钡灌肠、静脉肾盂造影,以及脑、肝和骨的放射性核素扫描。所有无症状患者的隐匿性转移性疾病均在常规胸部X线检查中被发现。有3次检查结果为假阳性,这需要进一步的诊断测试,但最终的治疗决定没有改变。根据治疗前影像学评估,其余患者的治疗方案没有改变。