Stage IIA Cutaneous Melanoma: Do Regional Ultrasound and CT scan Improve Detection of Relapses? A Multicenter Retrospective Observational Study

Autor: Giulia Briatico, Gabriella Brancaccio, Elvira Moscarella, Caterina Longo, Stefania Borsari, Roberta Ruggeri, Giovanni Docimo, Giuseppe Argenziano
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Dermatology Practical & Conceptual, Vol 14, Iss 3 (2024)
Druh dokumentu: article
ISSN: 2160-9381
DOI: 10.5826/dpc.1403a155
Popis: Introduction: Stage 2A cutaneous melanoma is typified by a Breslow thickness between 1.1 and 2.0 mm with ulceration or between 2.1 and 4.0 mm without ulceration. The role of radiological investigations in staging and follow-up of this intermediate-risk subgroup of patients is still debated. Objective: The aim of this study is to investigate the role of imaging procedures in the follow-up of stage IIA melanoma asymptomatic patients. Methods: Data were retrieved from 2 tertiary referral centers in Italy. Among patients with stage 2A melanoma, those who relapsed were investigated concerning type of detection (by patient or by doctor), and modality of detection (clinical examination, ultrasound, CT scan). In addition, false positive data were collected. Results: In total, 213 patients were retrieved, with 26 patients showing relapse (recurrence rate, 12.2%). The mean follow-up time was 3 years and the mean time to recurrence was 17.8 months. 21/26 (80.7%) recurrences were identified by the doctor and 5/26 (19.2%) by the patient (p
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