S‐100B as an extra selection tool for FDG PET/CT scanning in follow‐up of AJCC stage III melanoma patients

Background and Objectives This current study assessed the value of S‐100B measurement to guide fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scanning for detecting recurrent disease in stage III melanoma patients. Methods This study included 100 stage III melanom...

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Veröffentlicht in:Journal of surgical oncology 2019-11, Vol.120 (6), p.1031-1037
Hauptverfasser: Deckers, Eric A., Wevers, Kevin P., Muller Kobold, Anneke C., Damude, Samantha, Vrielink, Otis M., Ginkel, Robert J., Been, Lukas B., Leeuwen, Barbara L., Hoekstra, Harald J., Kruijff, Schelto
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container_end_page 1037
container_issue 6
container_start_page 1031
container_title Journal of surgical oncology
container_volume 120
creator Deckers, Eric A.
Wevers, Kevin P.
Muller Kobold, Anneke C.
Damude, Samantha
Vrielink, Otis M.
Ginkel, Robert J.
Been, Lukas B.
Leeuwen, Barbara L.
Hoekstra, Harald J.
Kruijff, Schelto
description Background and Objectives This current study assessed the value of S‐100B measurement to guide fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scanning for detecting recurrent disease in stage III melanoma patients. Methods This study included 100 stage III melanoma patients in follow‐up after curative lymph node dissection. Follow‐up visits included physical examination and S‐100B monitoring. FDG PET/CT scanning was indicated by clinical symptoms and/or elevated S‐100B. Results Of 100 patients, 13 (13%) had elevated S‐100B without clinical symptoms, of whom 7 (54%) showed disease evidence upon FDG PET/CT scanning. Twenty‐six patients (26%) had clinical symptoms with normal S‐100B and FDG PET/CT revealed metastasis in 20 (77%). Three patients had clinical symptoms and elevated S‐100B, and FDG PET/CT revealed metastasis in all three (100%). Overall, FDG PET/CT scanning revealed metastasis in 30 of the 42 patients (71.4%). For seven recurrences, elevated S‐100B prompted early detection of asymptomatic disease; 10% of all asymptomatic patients in follow‐up, 23% of all patients with recurrent disease. Conclusion S‐100B cannot exclude recurrent disease during follow‐up of stage III melanoma. However, adding S‐100B measurement to standard clinical assessment can guide FDG PET/CT scanning for detecting recurrent melanoma.
doi_str_mv 10.1002/jso.25682
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Methods This study included 100 stage III melanoma patients in follow‐up after curative lymph node dissection. Follow‐up visits included physical examination and S‐100B monitoring. FDG PET/CT scanning was indicated by clinical symptoms and/or elevated S‐100B. Results Of 100 patients, 13 (13%) had elevated S‐100B without clinical symptoms, of whom 7 (54%) showed disease evidence upon FDG PET/CT scanning. Twenty‐six patients (26%) had clinical symptoms with normal S‐100B and FDG PET/CT revealed metastasis in 20 (77%). Three patients had clinical symptoms and elevated S‐100B, and FDG PET/CT revealed metastasis in all three (100%). Overall, FDG PET/CT scanning revealed metastasis in 30 of the 42 patients (71.4%). For seven recurrences, elevated S‐100B prompted early detection of asymptomatic disease; 10% of all asymptomatic patients in follow‐up, 23% of all patients with recurrent disease. Conclusion S‐100B cannot exclude recurrent disease during follow‐up of stage III melanoma. However, adding S‐100B measurement to standard clinical assessment can guide FDG PET/CT scanning for detecting recurrent melanoma.</description><identifier>ISSN: 0022-4790</identifier><identifier>EISSN: 1096-9098</identifier><identifier>DOI: 10.1002/jso.25682</identifier><identifier>PMID: 31468535</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Aged, 80 and over ; biomarker ; Biomarkers, Tumor - metabolism ; Cancer surgery ; FDG PET/CT ; Female ; Fluorodeoxyglucose F18 ; Follow-Up Studies ; follow‐up ; Humans ; Male ; Medical imaging ; Melanoma ; Melanoma - diagnostic imaging ; Melanoma - metabolism ; Melanoma - pathology ; Melanoma - surgery ; Metastasis ; Middle Aged ; Neoplasm Recurrence, Local - diagnosis ; Neoplasm Recurrence, Local - diagnostic imaging ; Neoplasm Recurrence, Local - metabolism ; Neoplasm Staging ; Positron Emission Tomography Computed Tomography - methods ; Radiopharmaceuticals ; recurrence ; S100 Calcium Binding Protein beta Subunit - metabolism ; S‐100B ; Tomography</subject><ispartof>Journal of surgical oncology, 2019-11, Vol.120 (6), p.1031-1037</ispartof><rights>2019 The Authors. Journal of Surgical Oncology published by Wiley Periodicals, Inc.</rights><rights>2019 Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4432-8892173d39413ececf3c0567e23a26918fdb7bbf02c012626b9e55c8c2d7247c3</citedby><cites>FETCH-LOGICAL-c4432-8892173d39413ececf3c0567e23a26918fdb7bbf02c012626b9e55c8c2d7247c3</cites><orcidid>0000-0001-6206-207X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjso.25682$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjso.25682$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31468535$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Deckers, Eric A.</creatorcontrib><creatorcontrib>Wevers, Kevin P.</creatorcontrib><creatorcontrib>Muller Kobold, Anneke C.</creatorcontrib><creatorcontrib>Damude, Samantha</creatorcontrib><creatorcontrib>Vrielink, Otis M.</creatorcontrib><creatorcontrib>Ginkel, Robert J.</creatorcontrib><creatorcontrib>Been, Lukas B.</creatorcontrib><creatorcontrib>Leeuwen, Barbara L.</creatorcontrib><creatorcontrib>Hoekstra, Harald J.</creatorcontrib><creatorcontrib>Kruijff, Schelto</creatorcontrib><title>S‐100B as an extra selection tool for FDG PET/CT scanning in follow‐up of AJCC stage III melanoma patients</title><title>Journal of surgical oncology</title><addtitle>J Surg Oncol</addtitle><description>Background and Objectives This current study assessed the value of S‐100B measurement to guide fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scanning for detecting recurrent disease in stage III melanoma patients. Methods This study included 100 stage III melanoma patients in follow‐up after curative lymph node dissection. Follow‐up visits included physical examination and S‐100B monitoring. FDG PET/CT scanning was indicated by clinical symptoms and/or elevated S‐100B. Results Of 100 patients, 13 (13%) had elevated S‐100B without clinical symptoms, of whom 7 (54%) showed disease evidence upon FDG PET/CT scanning. Twenty‐six patients (26%) had clinical symptoms with normal S‐100B and FDG PET/CT revealed metastasis in 20 (77%). Three patients had clinical symptoms and elevated S‐100B, and FDG PET/CT revealed metastasis in all three (100%). Overall, FDG PET/CT scanning revealed metastasis in 30 of the 42 patients (71.4%). For seven recurrences, elevated S‐100B prompted early detection of asymptomatic disease; 10% of all asymptomatic patients in follow‐up, 23% of all patients with recurrent disease. Conclusion S‐100B cannot exclude recurrent disease during follow‐up of stage III melanoma. 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Wevers, Kevin P. ; Muller Kobold, Anneke C. ; Damude, Samantha ; Vrielink, Otis M. ; Ginkel, Robert J. ; Been, Lukas B. ; Leeuwen, Barbara L. ; Hoekstra, Harald J. ; Kruijff, Schelto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4432-8892173d39413ececf3c0567e23a26918fdb7bbf02c012626b9e55c8c2d7247c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>biomarker</topic><topic>Biomarkers, Tumor - metabolism</topic><topic>Cancer surgery</topic><topic>FDG PET/CT</topic><topic>Female</topic><topic>Fluorodeoxyglucose F18</topic><topic>Follow-Up Studies</topic><topic>follow‐up</topic><topic>Humans</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Melanoma</topic><topic>Melanoma - diagnostic imaging</topic><topic>Melanoma - metabolism</topic><topic>Melanoma - pathology</topic><topic>Melanoma - surgery</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - diagnosis</topic><topic>Neoplasm Recurrence, Local - diagnostic imaging</topic><topic>Neoplasm Recurrence, Local - metabolism</topic><topic>Neoplasm Staging</topic><topic>Positron Emission Tomography Computed Tomography - methods</topic><topic>Radiopharmaceuticals</topic><topic>recurrence</topic><topic>S100 Calcium Binding Protein beta Subunit - metabolism</topic><topic>S‐100B</topic><topic>Tomography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Deckers, Eric A.</creatorcontrib><creatorcontrib>Wevers, Kevin P.</creatorcontrib><creatorcontrib>Muller Kobold, Anneke C.</creatorcontrib><creatorcontrib>Damude, Samantha</creatorcontrib><creatorcontrib>Vrielink, Otis M.</creatorcontrib><creatorcontrib>Ginkel, Robert J.</creatorcontrib><creatorcontrib>Been, Lukas B.</creatorcontrib><creatorcontrib>Leeuwen, Barbara L.</creatorcontrib><creatorcontrib>Hoekstra, Harald J.</creatorcontrib><creatorcontrib>Kruijff, Schelto</creatorcontrib><collection>Wiley Online Library</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Deckers, Eric A.</au><au>Wevers, Kevin P.</au><au>Muller Kobold, Anneke C.</au><au>Damude, Samantha</au><au>Vrielink, Otis M.</au><au>Ginkel, Robert J.</au><au>Been, Lukas B.</au><au>Leeuwen, Barbara L.</au><au>Hoekstra, Harald J.</au><au>Kruijff, Schelto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>S‐100B as an extra selection tool for FDG PET/CT scanning in follow‐up of AJCC stage III melanoma patients</atitle><jtitle>Journal of surgical oncology</jtitle><addtitle>J Surg Oncol</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>120</volume><issue>6</issue><spage>1031</spage><epage>1037</epage><pages>1031-1037</pages><issn>0022-4790</issn><eissn>1096-9098</eissn><abstract>Background and Objectives This current study assessed the value of S‐100B measurement to guide fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scanning for detecting recurrent disease in stage III melanoma patients. Methods This study included 100 stage III melanoma patients in follow‐up after curative lymph node dissection. Follow‐up visits included physical examination and S‐100B monitoring. FDG PET/CT scanning was indicated by clinical symptoms and/or elevated S‐100B. Results Of 100 patients, 13 (13%) had elevated S‐100B without clinical symptoms, of whom 7 (54%) showed disease evidence upon FDG PET/CT scanning. Twenty‐six patients (26%) had clinical symptoms with normal S‐100B and FDG PET/CT revealed metastasis in 20 (77%). Three patients had clinical symptoms and elevated S‐100B, and FDG PET/CT revealed metastasis in all three (100%). Overall, FDG PET/CT scanning revealed metastasis in 30 of the 42 patients (71.4%). For seven recurrences, elevated S‐100B prompted early detection of asymptomatic disease; 10% of all asymptomatic patients in follow‐up, 23% of all patients with recurrent disease. Conclusion S‐100B cannot exclude recurrent disease during follow‐up of stage III melanoma. However, adding S‐100B measurement to standard clinical assessment can guide FDG PET/CT scanning for detecting recurrent melanoma.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>31468535</pmid><doi>10.1002/jso.25682</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-6206-207X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Aged, 80 and over
biomarker
Biomarkers, Tumor - metabolism
Cancer surgery
FDG PET/CT
Female
Fluorodeoxyglucose F18
Follow-Up Studies
follow‐up
Humans
Male
Medical imaging
Melanoma
Melanoma - diagnostic imaging
Melanoma - metabolism
Melanoma - pathology
Melanoma - surgery
Metastasis
Middle Aged
Neoplasm Recurrence, Local - diagnosis
Neoplasm Recurrence, Local - diagnostic imaging
Neoplasm Recurrence, Local - metabolism
Neoplasm Staging
Positron Emission Tomography Computed Tomography - methods
Radiopharmaceuticals
recurrence
S100 Calcium Binding Protein beta Subunit - metabolism
S‐100B
Tomography
title S‐100B as an extra selection tool for FDG PET/CT scanning in follow‐up of AJCC stage III melanoma patients
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