Early detection of melanoma metastases with radioiodinated methylene blue.

Autor: Link, E. M., Blower, P. J., Costa, D. C., Lane, D. M., Lui, D., Brown, R. S. D., Ell, P. J., Spittle, M. F.
Předmět:
Zdroj: European Journal of Nuclear Medicine; 1998, Vol. 25 Issue 9, p1322-1329, 8p
Abstrakt: Abstract. Melanin synthesised in melanoma cells presents a unique target to which the treatment can be selectively addressed, provided the pigment is recognised by a suitable drug. Methylene blue (MTB) possesses a high affinity for melanin and, therefore, accumulates preferentially in melanoma cells. Since not directly toxic to the tumour, MTB serves as a carrier for radioisotopes and, once taken up by melanoma cells, acts as a selectively localised source of radiation. Hence, radioderivarives of the compound can be used for both diagnosis and therapy of disseminated melanoma. Eleven patients with confirmed metastatic melanoma and one with a recent local recurrence were studied using radioiodinated (iodine-123 or iodine-131) MTB and a gamma camera. Biopsies of cutaneous lesions were taken to determine directly the compound uptake in tumours. This first clinical investigation concerning the diagnostic potential of radioiodinated MTB in patients with disseminated melanoma confirmed the existence of approximately 80% of internal lesions previously identified by routine methods and, additionally, enabled detection of unknown secondaries in 6 of 12 patients studied. There were no false-positive gamma camera images... [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index