Long-term results of ultrasound guided fine needle aspiration cytology in conjunction with sentinel node biopsy support step-wise approach in melanoma

Ophuis, Charlotte M.C. Oude; Verhoef, Cornelis; Grünhagen, Dirk J.; Siegel, Petra; Schoengen, A.; Röwert‐Huber, Joachim; Eggermont, Alexander; Voit, Christiane; Akkooi, Alexander C. J. van

doi:10.1016/j.ejso.2017.02.009

Cited by 16 publications

(14 citation statements)

References 34 publications

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“…Ultrasound is also used in a therapeutic mode using high-intensity focused ultrasound (HIFU) . Furthermore, ultrasound is used to assist in interventional procedures such as in anaesthesiology, for needle guidance (Kuang et al, 2016;Menace et al, 2016;Raju & Grant, 2016), for implantation of catheters (Beigi et al, 2017;Fabiani et al, 2017;Menace et al, 2016) and needle biopsy (Giuliani et al, 2017;Ishii et al, 2017;Ophuis et al, 2017). Ultrasound often provides the means to visualize the location of catheters and needles in tissue.…”

Section: Medical Applications Of Ultrasoundmentioning

confidence: 99%

The acoustical properties of IEC agar-based tissue mimicking material over the frequency range 4.5MHz to 50MHz - a longitudinal study

Rabell-Montiel

Pye

Anderson

et al. 2016

2016 IEEE International Ultrasonics Symposium (IUS)

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Commercially available ultrasound quality assurance test phantoms rely on the long-term acoustic stability of the tissue-mimicking-material (TMM). Measurement of the acoustic properties of the TMM can be technically challenging, and it is important to ensure its stability. The standard technique is to film-wrap samples of TMM and to measure the acoustic properties in a water bath. In this study, a modified technique was proposed whereby the samples of TMM are measured in a preserving fluid that is intended to maintain their characteristics. The acoustic properties were evaluated using a broadband pulse-echo substitution technique over the frequency range 4.5-50 MHz at 0, 6 and 12 months using both techniques. For both techniques, the measured mean values for the speed of sound and attenuation were very similar and within the International Electrotechnical Commission-recommended value. However, the results obtained using the proposed modified technique exhibited greater stability over the 1-y period compared with the results acquired using the standard technique.

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Section: Medical Applications Of Ultrasoundmentioning

confidence: 99%

The acoustical properties of IEC agar-based tissue mimicking material over the frequency range 4.5MHz to 50MHz - a longitudinal study

Rabell-Montiel

Pye

Anderson

et al. 2016

2016 IEEE International Ultrasonics Symposium (IUS)

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“…MSLT-2 and EORTC 1208 (MINITUB) trials focusing on the role of CLND in SLNB positive patients were reported [17]. There might be a role for new modalities like US-FNAC in melanoma staging [18,19].…”

Section: Discussionmentioning

confidence: 99%

Recurrence after sentinel lymph node biopsy in cutaneous melanoma: a single-center experience in Slovak patients

Sabol

Rekeň

Sabolova

et al. 2019

neo

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The standard approach in the management of cutaneous malignant melanoma is considered to be a complete excision of the primary lesion with an appropriate margin of the normal tissue according to Breslow thickness. Usually sentinel lymph node biopsy (SLNB) can help to determine the nodal status, and thus improve the accuracy of staging of the disease. However, the role of SLNB in melanoma treatment remains controversial. NCCN guidelines strongly support routine performance of therapeutic lymphadenectomy in all melanoma patients with clinically positive nodes without radiographic evidence of distant metastases. Patients with positive SLNB should have had completion lymph node dissection (CLND) for regional disease control. Between 2012 and 2016, 168 consecutive patients underwent surgery for primary cutaneous malignant melanoma at St. Elisabeth Cancer Institute in Bratislava. The indication for SLNB and the procedure was made according to international guidelines. In this retrospective study, a cohort of 78 patients was analyzed (35 women and 43 men). Inclusion criteria comprised patients with cutaneous melanoma with no evidence of distant metastases or clinical lymphadenopathy. SLNB comprised a dual labelling method (Tc-99m Nanocolloid/blue dye) in a one-day protocol. Median follow-up was 657 days. The primary composite outcome was the time to the first disease-related event (death, reintervention, worsening of symptoms). Primary outcome measures were overall (diseasespecific) and disease-free survival. The overall identification rate of SLN in melanoma patients by dual labelling method was 98.5%. All patients with positive SLNB on frozen section underwent complete regional lymphadenectomy. Using multivariable analysis Breslow thickness of the lesion (p=0.00004, HR 4.03 on logarithmic scale) was identified as the strongest independent predictor of the disease-free survival (DFS) and male gender was significant predictor of DFS. An increase in tumor thickness was associated with significantly higher risk of an event. Neither SLN positivity nor initial S-100 level proved to be significant predictors of the event at the 0.05 level of probability. Multidisciplinary approach represents the gold standard of care for melanoma patients and surgery remains the best option for most localized cases. Although the usefulness of SLNB procedure has been questioned, it provides an excellent staging method, moreover, it can identify high-risk patients. The routine use of completion lymphadenectomy after a positive SLNB is still controversial. It is not clear whether CLND following a positive SLN biopsy improves survival but it could provide regional disease control.

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“…This may be important, because SLN biopsy is a procedure with potential concomitant morbidity and an FN rate ranging between 9% and 21% 73 . Oude Ophuis et al evaluated a series of 1000 patients and proposed a step‐wise approach for SLN of patients with MM based on ultrasound (US) and FNA 74 . In particular, among patients with suspected US and negative FNA findings, SNL biopsy is recommended to detect microscopic occult disease.…”

Section: The Role Of Fna In Sentinel Ln Evaluationmentioning

confidence: 99%

Cytologic diagnosis of metastatic melanoma by FNA: A practical review

Ronchi

Montella

Marino

et al. 2021

Cancer Cytopathology

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Malignant melanoma (MM) is a highly aggressive neoplasm with a growing worldwide incidence. It is not uncommon that the disease is already metastatic at the time of the first diagnosis. Regional lymph nodes and skin are the first and most common metastatic sites, followed by distant visceral sites (lungs, liver, and central nervous system) and bone. In this clinical setting, fine-needle aspiration (FNA) often represents the first diagnostic approach. FNA is a useful tool to obtain a rapid and accurate diagnosis, in conjunction with ancillary techniques and molecular analysis, as recommended by recent guidelines.The aim of this review was to describe the cytomorphology, immunocytochemical tools, and molecular tools used for the diagnosis of MM metastases on FNA. Cancer Cytopathol 2021;0:1-12.

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Long-term results of ultrasound guided fine needle aspiration cytology in conjunction with sentinel node biopsy support step-wise approach in melanoma

Cited by 16 publications

References 34 publications

The acoustical properties of IEC agar-based tissue mimicking material over the frequency range 4.5MHz to 50MHz - a longitudinal study

The acoustical properties of IEC agar-based tissue mimicking material over the frequency range 4.5MHz to 50MHz - a longitudinal study

Recurrence after sentinel lymph node biopsy in cutaneous melanoma: a single-center experience in Slovak patients

Cytologic diagnosis of metastatic melanoma by FNA: A practical review

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