Detection of Melanoma Relapse: First Comparative Analysis on Imaging Techniques versus S100 Protein

Background: Early detection of melanoma recurrence is essential for the patient’s prognosis. The serum S100 level may be a useful tool to detect relapse early. Objective: To compare the efficacy of imaging techniques and serum S100 in the early detection of melanoma progression. This is the first re...

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Veröffentlicht in:Dermatology (Basel) 2006-01, Vol.213 (3), p.187-191
Hauptverfasser: Beyeler, Mirjam, Waldispühl, Severa, Strobel, Klaus, Joller-Jemelka, Helen I., Burg, Günter, Dummer, Reinhard
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container_end_page 191
container_issue 3
container_start_page 187
container_title Dermatology (Basel)
container_volume 213
creator Beyeler, Mirjam
Waldispühl, Severa
Strobel, Klaus
Joller-Jemelka, Helen I.
Burg, Günter
Dummer, Reinhard
description Background: Early detection of melanoma recurrence is essential for the patient’s prognosis. The serum S100 level may be a useful tool to detect relapse early. Objective: To compare the efficacy of imaging techniques and serum S100 in the early detection of melanoma progression. This is the first report of a comparison of a serum marker with an imaging tool in the follow-up of melanoma patients. Methods: From 1992 to 2003, we screened 192 patients suffering from melanoma recurrence after a disease-free interval. Of those, 127 patients were identified whose S100 levels had been assessed parallel to imaging procedures. Results: Serum S100 was elevated in 37% of patients at the time of relapse. In stage III, 32% of the patients had elevated S100 levels whereas in case of progression to stage IV, 48% of the patients presented with increased S100. In 5.5% of patients, S100 was the first indicator of disease progression. Imaging procedures lead to detection of melanoma recurrence in 26.8%. Conclusion: A rising level of serum S100 is a specific and sensitive marker of melanoma progression.
doi_str_mv 10.1159/000095034
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The serum S100 level may be a useful tool to detect relapse early. Objective: To compare the efficacy of imaging techniques and serum S100 in the early detection of melanoma progression. This is the first report of a comparison of a serum marker with an imaging tool in the follow-up of melanoma patients. Methods: From 1992 to 2003, we screened 192 patients suffering from melanoma recurrence after a disease-free interval. Of those, 127 patients were identified whose S100 levels had been assessed parallel to imaging procedures. Results: Serum S100 was elevated in 37% of patients at the time of relapse. In stage III, 32% of the patients had elevated S100 levels whereas in case of progression to stage IV, 48% of the patients presented with increased S100. In 5.5% of patients, S100 was the first indicator of disease progression. Imaging procedures lead to detection of melanoma recurrence in 26.8%. 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The serum S100 level may be a useful tool to detect relapse early. Objective: To compare the efficacy of imaging techniques and serum S100 in the early detection of melanoma progression. This is the first report of a comparison of a serum marker with an imaging tool in the follow-up of melanoma patients. Methods: From 1992 to 2003, we screened 192 patients suffering from melanoma recurrence after a disease-free interval. Of those, 127 patients were identified whose S100 levels had been assessed parallel to imaging procedures. Results: Serum S100 was elevated in 37% of patients at the time of relapse. In stage III, 32% of the patients had elevated S100 levels whereas in case of progression to stage IV, 48% of the patients presented with increased S100. In 5.5% of patients, S100 was the first indicator of disease progression. Imaging procedures lead to detection of melanoma recurrence in 26.8%. 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subjects Aged
Biological and medical sciences
Biomarkers, Tumor - blood
Clinical and Laboratory Investigations
Comparative analysis
Dermatology
Diagnosis, Differential
Disease Progression
Female
Humans
Lymphatic Metastasis - diagnosis
Magnetic Resonance Imaging
Male
Medical imaging
Medical sciences
Medical screening
Melanoma - blood
Melanoma - diagnosis
Melanoma - pathology
Middle Aged
Neoplasm Recurrence, Local - blood
Neoplasm Recurrence, Local - diagnosis
Positron-Emission Tomography
Predictive Value of Tests
Proteins
S100 Proteins - blood
Sensitivity and Specificity
Skin cancer
Skin Neoplasms - blood
Skin Neoplasms - diagnosis
Skin Neoplasms - pathology
Tomography, X-Ray Computed
Tumors of the skin and soft tissue. Premalignant lesions
title Detection of Melanoma Relapse: First Comparative Analysis on Imaging Techniques versus S100 Protein
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