The utility of fine needle aspiration in the diagnosis of melanoma metastatic to lymph nodes
Prompt and accurate diagnosis of melanoma metastatic to the lymph nodes is important with respect to prognosis and treatment. The purpose of this study was to determine the utility and diagnostic reliability of fine needle aspiration (FNA) of enlarged nodules in lymph node basins in patients with me...
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| Veröffentlicht in: | Journal of the American Academy of Dermatology 1997-03, Vol.36 (3), p.403-408 |
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| container_title | Journal of the American Academy of Dermatology |
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| creator | Basler, Geoffrey C. Fader, Darrell J. Yahanda, Alan Sondak, Vernon K. Johnson, Timothy M. |
| description | Prompt and accurate diagnosis of melanoma metastatic to the lymph nodes is important with respect to prognosis and treatment.
The purpose of this study was to determine the utility and diagnostic reliability of fine needle aspiration (FNA) of enlarged nodules in lymph node basins in patients with melanoma.
We retrospectively reviewed the charts of 46 patients with melanoma who under-went a total of 56 FNAs of palpable nodules in lymph node basins.
Of the 56 FNAs, 24 showed melanoma, 26 did not demonstrate melanoma, five were inadequate, and one gave inconclusive but suspect results. Findings were confirmed by open biopsy (
n = 35) or clinical follow-up (
n = 21). Fifty of 56 FNAs (89%) yielded a definitive diagnosis (sensitivity/specificity = 100% in these 50).
FNA biopsy of enlarged palpable nodules in nodal basins in patients with melanoma is accurate, rapid, and cost-efficient. An algorithm for management of patients with melanoma who have palpable nodes is provided. |
| doi_str_mv | 10.1016/S0190-9622(97)80216-2 |
| format | Article |
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The purpose of this study was to determine the utility and diagnostic reliability of fine needle aspiration (FNA) of enlarged nodules in lymph node basins in patients with melanoma.
We retrospectively reviewed the charts of 46 patients with melanoma who under-went a total of 56 FNAs of palpable nodules in lymph node basins.
Of the 56 FNAs, 24 showed melanoma, 26 did not demonstrate melanoma, five were inadequate, and one gave inconclusive but suspect results. Findings were confirmed by open biopsy (
n = 35) or clinical follow-up (
n = 21). Fifty of 56 FNAs (89%) yielded a definitive diagnosis (sensitivity/specificity = 100% in these 50).
FNA biopsy of enlarged palpable nodules in nodal basins in patients with melanoma is accurate, rapid, and cost-efficient. An algorithm for management of patients with melanoma who have palpable nodes is provided.</description><identifier>ISSN: 0190-9622</identifier><identifier>EISSN: 1097-6787</identifier><identifier>DOI: 10.1016/S0190-9622(97)80216-2</identifier><identifier>PMID: 9091471</identifier><identifier>CODEN: JAADDB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Algorithms ; Biological and medical sciences ; Biopsy, Needle ; Dermatology ; Female ; Humans ; Lymph Nodes - pathology ; Lymphatic Metastasis - diagnosis ; Male ; Medical sciences ; Melanoma - diagnosis ; Melanoma - secondary ; Middle Aged ; Prognosis ; Retrospective Studies ; Sensitivity and Specificity ; Skin Neoplasms - pathology ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>Journal of the American Academy of Dermatology, 1997-03, Vol.36 (3), p.403-408</ispartof><rights>1997 American Academy of Dermatology, Inc.</rights><rights>1997 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-9afa552075f5af4fa80588cd2629d49bc54db977b1544ffca1e366e7cb6ec7f13</citedby><cites>FETCH-LOGICAL-c389t-9afa552075f5af4fa80588cd2629d49bc54db977b1544ffca1e366e7cb6ec7f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0190-9622(97)80216-2$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2621875$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9091471$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Basler, Geoffrey C.</creatorcontrib><creatorcontrib>Fader, Darrell J.</creatorcontrib><creatorcontrib>Yahanda, Alan</creatorcontrib><creatorcontrib>Sondak, Vernon K.</creatorcontrib><creatorcontrib>Johnson, Timothy M.</creatorcontrib><title>The utility of fine needle aspiration in the diagnosis of melanoma metastatic to lymph nodes</title><title>Journal of the American Academy of Dermatology</title><addtitle>J Am Acad Dermatol</addtitle><description>Prompt and accurate diagnosis of melanoma metastatic to the lymph nodes is important with respect to prognosis and treatment.
The purpose of this study was to determine the utility and diagnostic reliability of fine needle aspiration (FNA) of enlarged nodules in lymph node basins in patients with melanoma.
We retrospectively reviewed the charts of 46 patients with melanoma who under-went a total of 56 FNAs of palpable nodules in lymph node basins.
Of the 56 FNAs, 24 showed melanoma, 26 did not demonstrate melanoma, five were inadequate, and one gave inconclusive but suspect results. Findings were confirmed by open biopsy (
n = 35) or clinical follow-up (
n = 21). Fifty of 56 FNAs (89%) yielded a definitive diagnosis (sensitivity/specificity = 100% in these 50).
FNA biopsy of enlarged palpable nodules in nodal basins in patients with melanoma is accurate, rapid, and cost-efficient. An algorithm for management of patients with melanoma who have palpable nodes is provided.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Dermatology</subject><subject>Female</subject><subject>Humans</subject><subject>Lymph Nodes - pathology</subject><subject>Lymphatic Metastasis - diagnosis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Melanoma - diagnosis</subject><subject>Melanoma - secondary</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><subject>Sensitivity and Specificity</subject><subject>Skin Neoplasms - pathology</subject><subject>Tumors of the skin and soft tissue. Premalignant lesions</subject><issn>0190-9622</issn><issn>1097-6787</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkEtLXDEUgEOx2NH2JwhZFLGLW5M7N69VEbG2IHSh7gohNznRyL3JNMkI8-_NOMNsuzoHzndeH0JnlHynhPLLe0IV6RTv-wslvknSU971H9CCEiU6LqQ4QosD8gmdlPJCCFHDUhyjY0UUHQRdoL8Pz4DXNUyhbnDy2IcIOAK4CbApq5BNDSniEHFtoAvmKaYSyhadYTIxzaYl1ZTaQItrwtNmXj3jmByUz-ijN1OBL_t4ih5_3jxc_-ru_tz-vr666-xSqtop4w1jPRHMM-MHbyRhUlrX8165QY2WDW5UQoyUDYP31lBYcg7Cjhys8HR5is53c1c5_VtDqXoOxcLU7oO0LlpIySWjrIFsB9qcSsng9SqH2eSNpkRvrep3q3qrTCuh363qvvWd7ResxxncoWuvsdW_7uumWDP5bKIN5YC1R6gU2_U_dhg0Ga8Bsi42QLTgQgZbtUvhP4e8AbNqlMs</recordid><startdate>19970301</startdate><enddate>19970301</enddate><creator>Basler, Geoffrey C.</creator><creator>Fader, Darrell J.</creator><creator>Yahanda, Alan</creator><creator>Sondak, Vernon K.</creator><creator>Johnson, Timothy M.</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970301</creationdate><title>The utility of fine needle aspiration in the diagnosis of melanoma metastatic to lymph nodes</title><author>Basler, Geoffrey C. ; Fader, Darrell J. ; Yahanda, Alan ; Sondak, Vernon K. ; Johnson, Timothy M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-9afa552075f5af4fa80588cd2629d49bc54db977b1544ffca1e366e7cb6ec7f13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Dermatology</topic><topic>Female</topic><topic>Humans</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic Metastasis - diagnosis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Melanoma - diagnosis</topic><topic>Melanoma - secondary</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><topic>Sensitivity and Specificity</topic><topic>Skin Neoplasms - pathology</topic><topic>Tumors of the skin and soft tissue. Premalignant lesions</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Basler, Geoffrey C.</creatorcontrib><creatorcontrib>Fader, Darrell J.</creatorcontrib><creatorcontrib>Yahanda, Alan</creatorcontrib><creatorcontrib>Sondak, Vernon K.</creatorcontrib><creatorcontrib>Johnson, Timothy M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Basler, Geoffrey C.</au><au>Fader, Darrell J.</au><au>Yahanda, Alan</au><au>Sondak, Vernon K.</au><au>Johnson, Timothy M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The utility of fine needle aspiration in the diagnosis of melanoma metastatic to lymph nodes</atitle><jtitle>Journal of the American Academy of Dermatology</jtitle><addtitle>J Am Acad Dermatol</addtitle><date>1997-03-01</date><risdate>1997</risdate><volume>36</volume><issue>3</issue><spage>403</spage><epage>408</epage><pages>403-408</pages><issn>0190-9622</issn><eissn>1097-6787</eissn><coden>JAADDB</coden><abstract>Prompt and accurate diagnosis of melanoma metastatic to the lymph nodes is important with respect to prognosis and treatment.
The purpose of this study was to determine the utility and diagnostic reliability of fine needle aspiration (FNA) of enlarged nodules in lymph node basins in patients with melanoma.
We retrospectively reviewed the charts of 46 patients with melanoma who under-went a total of 56 FNAs of palpable nodules in lymph node basins.
Of the 56 FNAs, 24 showed melanoma, 26 did not demonstrate melanoma, five were inadequate, and one gave inconclusive but suspect results. Findings were confirmed by open biopsy (
n = 35) or clinical follow-up (
n = 21). Fifty of 56 FNAs (89%) yielded a definitive diagnosis (sensitivity/specificity = 100% in these 50).
FNA biopsy of enlarged palpable nodules in nodal basins in patients with melanoma is accurate, rapid, and cost-efficient. An algorithm for management of patients with melanoma who have palpable nodes is provided.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>9091471</pmid><doi>10.1016/S0190-9622(97)80216-2</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 0190-9622 |
| ispartof | Journal of the American Academy of Dermatology, 1997-03, Vol.36 (3), p.403-408 |
| issn | 0190-9622 1097-6787 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Algorithms Biological and medical sciences Biopsy, Needle Dermatology Female Humans Lymph Nodes - pathology Lymphatic Metastasis - diagnosis Male Medical sciences Melanoma - diagnosis Melanoma - secondary Middle Aged Prognosis Retrospective Studies Sensitivity and Specificity Skin Neoplasms - pathology Tumors of the skin and soft tissue. Premalignant lesions |
| title | The utility of fine needle aspiration in the diagnosis of melanoma metastatic to lymph nodes |
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