Skin cancer: findings and role of high-resolution ultrasound

Catalano, Orlando; Roldan, Fernándo Alfageme; Varelli, Carlo; Bard, Robert L.; Corvino, Antonio; Wortsman, Ximena

doi:10.1007/s40477-019-00379-0

Cited by 87 publications

(87 citation statements)

References 33 publications

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“…Focus is positioned just deep to the area of interest. Any suspected lesion, firmness, or tenderness was examined by moving the probe over and around the lesion [14][15][16]. Dynamic ultrasonography examination executed by changing the degree of knee flexion as well as by medial and lateral movements of the patella was also done.…”

Section: Ultrasonography and Color Doppler Technique And Analysismentioning

confidence: 99%

Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

et al. 2020

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Background Anterior knee pain (AKP) is a problematic complaint, considered to be the most frequent cause of orthopedic consultancy for knee problems. This study aimed to highlight diagnostic accuracy of ultrasonography as a fast imaging technique in assessment of patients with AKP. Methods and results A prospective study was conducted on 143 patients with clinically confirmed AKP. All patients underwent ultrasonography and MRI examinations of the knee. The diagnostic accuracy of ultrasonography compared to MRI for evaluating different findings of possible causes of AKP were analyzed using receiver operating characteristic (ROC) curve and judged by area under curve (AUC). A total of 155 knees were included in the study; 26 knees showed no abnormalities, 19 knees showed positive MRI only, and 110 knees showed positive ultrasonography and MRI. Ultrasonography and MRI reported 11 different findings of possible causes of AKP or related to it. Joint effusion was the most common finding (38%) followed by trochlear cartilage defect (20.6%) and superficial infrapatellar subcutaneous edema (20%). The overall accuracy of ultrasonography was 85.3% sensitivity and 100% specificity. The ultrasonography provided the highest sensitivity (100%) in detecting bipartite patella, followed by 91.5% for joint effusion, and 87.5% for quadriceps tendinopathy. The ROC curve analysis of overall accuracy of ultrasonography showed an AUC of 0.93. The overall Kappa agreement between ultrasonography and MRI was good (k = 0.66). Conclusion Ultrasonography can be used to make a swift screening and assessment of painful anterior knee and as an alternative to MRI when it is unavailable or contraindicated.

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Section: Ultrasonography and Color Doppler Technique And Analysismentioning

confidence: 99%

Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

et al. 2020

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“…Ultrasonography can be used to accurately detect the presence of pathologic findings that may not be visible, including lymph node recurrence, and ultrasonography images taken over a specific time period can be compared. [ 7 ] We performed ultrasonography in our patients every 3 to 6 months after surgery to screen for the recurrence of skin cancer.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of ultrasonography in determining the surgical excision margin in non-melanocytic skin cancer

Kim¹,

Lee²,

Lee³

et al. 2020

Medicine

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Skin cancer diagnoses are rising due to increasing ultraviolet ray exposure and an aging population. The complete surgical excision of skin cancer, including a normal tissue, has been the widely performed and determining the adequate safety margin is essential. In this study, we compared the preoperative thickness and width of skin cancer by ultrasonography with the measurements by histopathologic findings. A total of 211 patients were enrolled in this study and ultrasonography was performed on 30 patients. The width (long and short axis) and thickness of the skin cancers were measured using electronic calipers of ultrasonographic calipers preoperatively and microscope postoperatively. The skin cancers were basal cell carcinoma (n = 17), squamous cell carcinoma (n = 10), Merkel cell carcinoma (n = 1), mucinous carcinoma (n = 1), and sebaceous carcinoma (n = 1). The mean width (long and short axis) and thickness of the cancers measured by ultrasonography was 1.25 (0.76) cm, 0.96 (0.65) cm, and 0.37 (0.28) cm. The measurements by histopathology was 1.24 (0.84) cm, 0.95 (0.65) cm, and 0.27 (0.24) cm. Kendall's tau-b correlation coefficient between measurements by ultrasonography and histopathology was as follows: long axis, r = 0.733, P < .001; short axis, r = 0.671, P < .001; thickness, r = 0.740, P < .001. Spearman's rank correlation coefficient between measurements by ultrasonography and histopathology was as follows: long axis, r = 0.865, P < .001; short axis, r = 0.829, P < .001; thickness, r = 0.842, P < .001. The difference in mean thickness between the total excised tissue and the skin cancer was 0.29 (0.43) cm (range 0.05–0.40 cm) in basal cell carcinoma and 0.56 (0.58) cm (range 0.05–2.22 cm) in squamous cell carcinoma. Ultrasonography can accurately measure the width and thickness of skin cancer and predict the safety margins of the wide excision. Preoperative ultrasonography is a good diagnostic tool for surgical planning. Additional studies with larger populations are needed to quantify the range of vertical safety margins.

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“…The definitive diagnosis can be made with angiography, but, as this is an invasive test it is should be reserved for those to be treated directly[ 8 ]. The hematoma is easily found with gray-scale ultrasound, and its size, location, echo-structure, and relationship with the surrounding tissue can be identified[ 9 ]; most hemodynamic characteristics of tissues are better displayed by color Doppler[ 10 , 11 ]. However, it is often difficult to detect deep, limited location, or low-velocity blood flow because of the limitation of gray-scale and Doppler technology, thus affecting the accuracy of ultrasonic diagnosis[ 12 ].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis of an actively bleeding brachial artery hematoma by contrast-enhanced ultrasound: A case report

Zhang

2020

WJCC

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BACKGROUND Active bleeding due to arterial injury following the acupuncture can sometimes represent a life-threatening complication. Only few reports of an actively bleeding hematoma diagnosed by contrast-enhanced ultrasound, which enables the depiction of vascular, have been reported. CASE SUMMARY Here, we report the case of a 75-year-old woman, who presented with sudden swelling, ecchymosis, and pain in the upper left limb. She underwent an acupuncture treatment of traditional Chinese medicine followed by a deep shoulder massage 2 d before admission to hospital. A few hours after the massage, her left upper arm was red, swollen and progressively aggravated. Ultrasonography showed a large hematoma (11.2 cm × 3.5 cm × 3.4 cm) beside the left brachial artery. Color Doppler ultrasound revealed that blood flow signals of the arteries branched into the hematoma. The contrast-enhanced ultrasound showed microbubbles from the brachial artery passing into the hematoma, diffused within the hematoma with the local surge of red blood cells, and disappearing after approximately 17 s. The microbubbles were likely due to bleeding from the arteries. After pressure bandaging treatment, the hematoma became smaller (3.1 cm × 1.7 cm) and organized according to ultrasonography performed 20 d later. CONCLUSION This case highlights the ultimate importance of contrast-enhanced ultrasound for the diagnosis of an actively bleeding hematoma.

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Skin cancer: findings and role of high-resolution ultrasound

Cited by 87 publications

References 33 publications

Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

Diagnostic accuracy of ultrasonography in the assessment of anterior knee pain

Usefulness of ultrasonography in determining the surgical excision margin in non-melanocytic skin cancer

Diagnosis of an actively bleeding brachial artery hematoma by contrast-enhanced ultrasound: A case report

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