Staging of cutaneous melanoma
Identifieur interne : 003583 ( Pmc/Checkpoint ); précédent : 003582; suivant : 003584Staging of cutaneous melanoma
Auteurs : P. Mohr [Allemagne] ; A. M. M. Eggermont [Pays-Bas] ; A. Hauschild [Allemagne] ; A. Buzaid [Brésil]Source :
- Annals of Oncology [ 0923-7534 ] ; 2009.
Abstract
The American Joint Committee on Cancer (AJCC) staging of cutaneous melanoma is a continuously evolving system. The identification of increasingly more accurate prognostic factors has led to major changes in melanoma staging over the years, and the current system described in this review will likely be modified in the near future. Likewise, application of new imaging techniques has also changed the staging work-up of patients with cutaneous melanoma. Chest and abdominal computed tomography (CT) scanning is most commonly used for evaluation of potential metastatic sites in the lungs, lymph nodes and liver, and is indicated in patients with new symptoms, anaemia, elevated lactate dehydrogenase or a chest X-ray abnormality. CT scans should be restricted to patients with high-risk melanoma (stage IIC, IIIB, IIIC and stage IIIA with a macroscopic sentinel lymph node). Magnetic resonance imaging (MRI) of the brain is a mandatory test in patients with stage IV, optional in stage III and not used in patients with stage I and II disease. Positron emission tomography (PET)/CT is more accurate than CT or MRI alone in the diagnosis of metastases and should complement conventional CT/MRI imaging in the staging work-up of patients who have solitary or oligometastatic disease where surgical resection is most relevant.
Url:
DOI: 10.1093/annonc/mdp256
PubMed: 19617293
PubMed Central: 2712594
Affiliations:
- Allemagne, Brésil, Pays-Bas
- Hollande-Méridionale, Schleswig-Holstein, État de São Paulo
- Kiel, Rotterdam, São Paulo
Links toward previous steps (curation, corpus...)
Links to Exploration step
PMC:2712594Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Staging of cutaneous melanoma</title><author><name sortKey="Mohr, P" sort="Mohr, P" uniqKey="Mohr P" first="P." last="Mohr">P. Mohr</name><affiliation wicri:level="1"><nlm:aff id="aff1">Elbekliniken, Buxtehude, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Elbekliniken, Buxtehude</wicri:regionArea><wicri:noRegion>Buxtehude</wicri:noRegion><wicri:noRegion>Buxtehude</wicri:noRegion><wicri:noRegion>Buxtehude</wicri:noRegion></affiliation></author><author><name sortKey="Eggermont, A M M" sort="Eggermont, A M M" uniqKey="Eggermont A" first="A. M. M." last="Eggermont">A. M. M. Eggermont</name><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Surgical Oncology, Erasmus University Medical Center–Daniel den Hoed Cancer Center, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, Erasmus University Medical Center–Daniel den Hoed Cancer Center, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Hauschild, A" sort="Hauschild, A" uniqKey="Hauschild A" first="A." last="Hauschild">A. Hauschild</name><affiliation wicri:level="3"><nlm:aff id="aff3">Department of Dermatology, University of Kiel, Kiel, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology, University of Kiel, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Buzaid, A" sort="Buzaid, A" uniqKey="Buzaid A" first="A." last="Buzaid">A. Buzaid</name><affiliation wicri:level="3"><nlm:aff id="aff4">Centro de Oncologia do Hospital Sírio-Libanês, Sao Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Centro de Oncologia do Hospital Sírio-Libanês, Sao Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">19617293</idno><idno type="pmc">2712594</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2712594</idno><idno type="RBID">PMC:2712594</idno><idno type="doi">10.1093/annonc/mdp256</idno><date when="2009">2009</date><idno type="wicri:Area/Pmc/Corpus">003B09</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">003B09</idno><idno type="wicri:Area/Pmc/Curation">003B08</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">003B08</idno><idno type="wicri:Area/Pmc/Checkpoint">003583</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">003583</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Staging of cutaneous melanoma</title><author><name sortKey="Mohr, P" sort="Mohr, P" uniqKey="Mohr P" first="P." last="Mohr">P. Mohr</name><affiliation wicri:level="1"><nlm:aff id="aff1">Elbekliniken, Buxtehude, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Elbekliniken, Buxtehude</wicri:regionArea><wicri:noRegion>Buxtehude</wicri:noRegion><wicri:noRegion>Buxtehude</wicri:noRegion><wicri:noRegion>Buxtehude</wicri:noRegion></affiliation></author><author><name sortKey="Eggermont, A M M" sort="Eggermont, A M M" uniqKey="Eggermont A" first="A. M. M." last="Eggermont">A. M. M. Eggermont</name><affiliation wicri:level="3"><nlm:aff id="aff2">Department of Surgical Oncology, Erasmus University Medical Center–Daniel den Hoed Cancer Center, Rotterdam, The Netherlands</nlm:aff><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Surgical Oncology, Erasmus University Medical Center–Daniel den Hoed Cancer Center, Rotterdam</wicri:regionArea><placeName><settlement type="city">Rotterdam</settlement><region nuts="2" type="province">Hollande-Méridionale</region></placeName></affiliation></author><author><name sortKey="Hauschild, A" sort="Hauschild, A" uniqKey="Hauschild A" first="A." last="Hauschild">A. Hauschild</name><affiliation wicri:level="3"><nlm:aff id="aff3">Department of Dermatology, University of Kiel, Kiel, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>Department of Dermatology, University of Kiel, Kiel</wicri:regionArea><placeName><region type="land" nuts="2">Schleswig-Holstein</region><settlement type="city">Kiel</settlement></placeName></affiliation></author><author><name sortKey="Buzaid, A" sort="Buzaid, A" uniqKey="Buzaid A" first="A." last="Buzaid">A. Buzaid</name><affiliation wicri:level="3"><nlm:aff id="aff4">Centro de Oncologia do Hospital Sírio-Libanês, Sao Paulo, Brazil</nlm:aff><country xml:lang="fr">Brésil</country><wicri:regionArea>Centro de Oncologia do Hospital Sírio-Libanês, Sao Paulo</wicri:regionArea><placeName><settlement type="city">São Paulo</settlement><region type="state">État de São Paulo</region></placeName></affiliation></author></analytic><series><title level="j">Annals of Oncology</title><idno type="ISSN">0923-7534</idno><idno type="eISSN">1569-8041</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>The American Joint Committee on Cancer (AJCC) staging of cutaneous melanoma is a continuously evolving system. The identification of increasingly more accurate prognostic factors has led to major changes in melanoma staging over the years, and the current system described in this review will likely be modified in the near future. Likewise, application of new imaging techniques has also changed the staging work-up of patients with cutaneous melanoma. Chest and abdominal computed tomography (CT) scanning is most commonly used for evaluation of potential metastatic sites in the lungs, lymph nodes and liver, and is indicated in patients with new symptoms, anaemia, elevated lactate dehydrogenase or a chest X-ray abnormality. CT scans should be restricted to patients with high-risk melanoma (stage IIC, IIIB, IIIC and stage IIIA with a macroscopic sentinel lymph node). Magnetic resonance imaging (MRI) of the brain is a mandatory test in patients with stage IV, optional in stage III and not used in patients with stage I and II disease. Positron emission tomography (PET)/CT is more accurate than CT or MRI alone in the diagnosis of metastases and should complement conventional CT/MRI imaging in the staging work-up of patients who have solitary or oligometastatic disease where surgical resection is most relevant.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Balch, Cm" uniqKey="Balch C">CM Balch</name></author><author><name sortKey="Buzaid, Ac" uniqKey="Buzaid A">AC Buzaid</name></author><author><name sortKey="Soong, Sj" uniqKey="Soong S">SJ Soong</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Garbe, C" uniqKey="Garbe C">C Garbe</name></author><author><name sortKey="Hauschild, A" uniqKey="Hauschild A">A Hauschild</name></author><author><name sortKey="Volkenandt, M" uniqKey="Volkenandt M">M Volkenandt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dummer, R" uniqKey="Dummer R">R Dummer</name></author><author><name sortKey="Panizzon, R" uniqKey="Panizzon R">R Panizzon</name></author><author><name sortKey="Bloch, Ph" uniqKey="Bloch P">PH Bloch</name></author><author><name sortKey="Burg, G" uniqKey="Burg G">G Burg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Davis, Sd" uniqKey="Davis S">SD Davis</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Heaston, Dk" uniqKey="Heaston D">DK Heaston</name></author><author><name sortKey="Putman, Ce" uniqKey="Putman C">CE Putman</name></author><author><name sortKey="Rodan, Ba" uniqKey="Rodan B">BA Rodan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kostrubiak, I" uniqKey="Kostrubiak I">I Kostrubiak</name></author><author><name sortKey="Whitley, No" uniqKey="Whitley N">NO Whitley</name></author><author><name sortKey="Aisner, J" uniqKey="Aisner J">J Aisner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daldrup Link, He" uniqKey="Daldrup Link H">HE Daldrup-Link</name></author><author><name sortKey="Franzius, C" uniqKey="Franzius C">C Franzius</name></author><author><name sortKey="Link, Tm" uniqKey="Link T">TM Link</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kaufmann, Pm" uniqKey="Kaufmann P">PM Kaufmann</name></author><author><name sortKey="Crone Munzebrock, W" uniqKey="Crone Munzebrock W">W Crone-Munzebrock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ferrucci, Jt" uniqKey="Ferrucci J">JT Ferrucci</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paley, Mr" uniqKey="Paley M">MR Paley</name></author><author><name sortKey="Ros, Pr" uniqKey="Ros P">PR Ros</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ghanem, N" uniqKey="Ghanem N">N Ghanem</name></author><author><name sortKey="Altehoefer, C" uniqKey="Altehoefer C">C Altehoefer</name></author><author><name sortKey="Hogerle, S" uniqKey="Hogerle S">S Hogerle</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yock, Dh" uniqKey="Yock D">DH Yock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cerfolio, Rj" uniqKey="Cerfolio R">RJ Cerfolio</name></author><author><name sortKey="Ojha, B" uniqKey="Ojha B">B Ojha</name></author><author><name sortKey="Bryant, As" uniqKey="Bryant A">AS Bryant</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Halpern, Bs" uniqKey="Halpern B">BS Halpern</name></author><author><name sortKey="Schiepers, C" uniqKey="Schiepers C">C Schiepers</name></author><author><name sortKey="Weber, Wa" uniqKey="Weber W">WA Weber</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lardinois, D" uniqKey="Lardinois D">D Lardinois</name></author><author><name sortKey="Weder, W" uniqKey="Weder W">W Weder</name></author><author><name sortKey="Hany, Tf" uniqKey="Hany T">TF Hany</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Reinhardt, Mj" uniqKey="Reinhardt M">MJ Reinhardt</name></author><author><name sortKey="Joe, Ay" uniqKey="Joe A">AY Joe</name></author><author><name sortKey="Jaeger, U" uniqKey="Jaeger U">U Jaeger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Holder, Wd" uniqKey="Holder W">WD Holder</name></author><author><name sortKey="White, Rl" uniqKey="White R">RL White</name></author><author><name sortKey="Zuger, Jh" uniqKey="Zuger J">JH Zuger</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gritters, Ls" uniqKey="Gritters L">LS Gritters</name></author><author><name sortKey="Francis, Ir" uniqKey="Francis I">IR Francis</name></author><author><name sortKey="Zasadny, Kr" uniqKey="Zasadny K">KR Zasadny</name></author><author><name sortKey="Wahl, Rl" uniqKey="Wahl R">RL Wahl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paquet, P" uniqKey="Paquet P">P Paquet</name></author><author><name sortKey="Hustinx, R" uniqKey="Hustinx R">R Hustinx</name></author><author><name sortKey="Rigo, P" uniqKey="Rigo P">P Rigo</name></author><author><name sortKey="Pierard, Ge" uniqKey="Pierard G">GE Pierard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rinne, D" uniqKey="Rinne D">D Rinne</name></author><author><name sortKey="Baum, Rp" uniqKey="Baum R">RP Baum</name></author><author><name sortKey="Hor, G" uniqKey="Hor G">G Hor</name></author><author><name sortKey="Kaufmann, R" uniqKey="Kaufmann R">R Kaufmann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steinert, Hc" uniqKey="Steinert H">HC Steinert</name></author><author><name sortKey="Huch Boni, Ra" uniqKey="Huch Boni R">RA Huch Boni</name></author><author><name sortKey="Buck, A" uniqKey="Buck A">A Buck</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Swetter, Sm" uniqKey="Swetter S">SM Swetter</name></author><author><name sortKey="Carroll, La" uniqKey="Carroll L">LA Carroll</name></author><author><name sortKey="Johnson, Dl" uniqKey="Johnson D">DL Johnson</name></author><author><name sortKey="Segall, Gm" uniqKey="Segall G">GM Segall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tyler, Ds" uniqKey="Tyler D">DS Tyler</name></author><author><name sortKey="Onaitis, M" uniqKey="Onaitis M">M Onaitis</name></author><author><name sortKey="Kherani, A" uniqKey="Kherani A">A Kherani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aydin, A" uniqKey="Aydin A">A Aydin</name></author><author><name sortKey="Yu, Jq" uniqKey="Yu J">JQ Yu</name></author><author><name sortKey="Zhuang, H" uniqKey="Zhuang H">H Zhuang</name></author><author><name sortKey="Alavi, A" uniqKey="Alavi A">A Alavi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kuvshinoff, Bw" uniqKey="Kuvshinoff B">BW Kuvshinoff</name></author><author><name sortKey="Kurtz, C" uniqKey="Kurtz C">C Kurtz</name></author><author><name sortKey="Coit, Dg" uniqKey="Coit D">DG Coit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Iagaru, A" uniqKey="Iagaru A">A Iagaru</name></author><author><name sortKey="Quon, A" uniqKey="Quon A">A Quon</name></author><author><name sortKey="Johnson, D" uniqKey="Johnson D">D Johnson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Balch, Cm" uniqKey="Balch C">CM Balch</name></author><author><name sortKey="Soong, Sj" uniqKey="Soong S">SJ Soong</name></author><author><name sortKey="Shaw, H" uniqKey="Shaw H">H Shaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buzaid, Ac" uniqKey="Buzaid A">AC Buzaid</name></author><author><name sortKey="Sandler, Ab" uniqKey="Sandler A">AB Sandler</name></author><author><name sortKey="Mani, S" uniqKey="Mani S">S Mani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rossi, Cr" uniqKey="Rossi C">CR Rossi</name></author><author><name sortKey="Mocellin, S" uniqKey="Mocellin S">S Mocellin</name></author><author><name sortKey="Scagnet, B" uniqKey="Scagnet B">B Scagnet</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Voit, Ca" uniqKey="Voit C">CA Voit</name></author><author><name sortKey="Van Akkooi, Ac" uniqKey="Van Akkooi A">AC van Akkooi</name></author><author><name sortKey="Sch Fer Hesterberg, G" uniqKey="Sch Fer Hesterberg G">G Schäfer-Hesterberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cabanas, Rm" uniqKey="Cabanas R">RM Cabanas</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Dufresne, En" uniqKey="Dufresne E">EN Dufresne</name></author><author><name sortKey="Kaplan, Wd" uniqKey="Kaplan W">WD Kaplan</name></author><author><name sortKey="Zimmerman, Re" uniqKey="Zimmerman R">RE Zimmerman</name></author><author><name sortKey="Rose, Cm" uniqKey="Rose C">CM Rose</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jones, D" uniqKey="Jones D">D Jones</name></author><author><name sortKey="Hanelin, L" uniqKey="Hanelin L">L Hanelin</name></author><author><name sortKey="Christopherson, D" uniqKey="Christopherson D">D Christopherson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Siddon, Rl" uniqKey="Siddon R">RL Siddon</name></author><author><name sortKey="Chin, Lm" uniqKey="Chin L">LM Chin</name></author><author><name sortKey="Zimmerman, Re" uniqKey="Zimmerman R">RE Zimmerman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Campisi, C" uniqKey="Campisi C">C Campisi</name></author><author><name sortKey="Boccardo, F" uniqKey="Boccardo F">F Boccardo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gannon, Cj" uniqKey="Gannon C">CJ Gannon</name></author><author><name sortKey="Rousseau, Dl" uniqKey="Rousseau D">DL Rousseau</name></author><author><name sortKey="Ross, Mi" uniqKey="Ross M">MI Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Uren, Rf" uniqKey="Uren R">RF Uren</name></author><author><name sortKey="Howman Giles, Rb" uniqKey="Howman Giles R">RB Howman-Giles</name></author><author><name sortKey="Shaw, Hm" uniqKey="Shaw H">HM Shaw</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patten, Rm" uniqKey="Patten R">RM Patten</name></author><author><name sortKey="Shuman, Wp" uniqKey="Shuman W">WP Shuman</name></author><author><name sortKey="Teefey, S" uniqKey="Teefey S">S Teefey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patten, Rm" uniqKey="Patten R">RM Patten</name></author><author><name sortKey="Shuman, Wp" uniqKey="Shuman W">WP Shuman</name></author><author><name sortKey="Teefey, S" uniqKey="Teefey S">S Teefey</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fon, Gt" uniqKey="Fon G">GT Fon</name></author><author><name sortKey="Wong, Ws" uniqKey="Wong W">WS Wong</name></author><author><name sortKey="Gold, Rh" uniqKey="Gold R">RH Gold</name></author><author><name sortKey="Kaiser, Lr" uniqKey="Kaiser L">LR Kaiser</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Finck, Sj" uniqKey="Finck S">SJ Finck</name></author><author><name sortKey="Giuliano, Ae" uniqKey="Giuliano A">AE Giuliano</name></author><author><name sortKey="Morton, Dl" uniqKey="Morton D">DL Morton</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buer, J" uniqKey="Buer J">J Buer</name></author><author><name sortKey="Probst, M" uniqKey="Probst M">M Probst</name></author><author><name sortKey="Franzke, A" uniqKey="Franzke A">A Franzke</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hauschild, A" uniqKey="Hauschild A">A Hauschild</name></author><author><name sortKey="Michaelsen, J" uniqKey="Michaelsen J">J Michaelsen</name></author><author><name sortKey="Brenner, W" uniqKey="Brenner W">W Brenner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Banfalvi, T" uniqKey="Banfalvi T">T Banfalvi</name></author><author><name sortKey="Boldizsar, M" uniqKey="Boldizsar M">M Boldizsar</name></author><author><name sortKey="Gergye, M" uniqKey="Gergye M">M Gergye</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Haffner, Ac" uniqKey="Haffner A">AC Haffner</name></author><author><name sortKey="Garbe, C" uniqKey="Garbe C">C Garbe</name></author><author><name sortKey="Burg, G" uniqKey="Burg G">G Burg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Patel, Jk" uniqKey="Patel J">JK Patel</name></author><author><name sortKey="Didolkar, Ms" uniqKey="Didolkar M">MS Didolkar</name></author><author><name sortKey="Pickren, Jw" uniqKey="Pickren J">JW Pickren</name></author><author><name sortKey="Moore, Rh" uniqKey="Moore R">RH Moore</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aloia, Ta" uniqKey="Aloia T">TA Aloia</name></author><author><name sortKey="Gershenwald, Je" uniqKey="Gershenwald J">JE Gershenwald</name></author><author><name sortKey="Andtbacka, Rh" uniqKey="Andtbacka R">RH Andtbacka</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Blum, A" uniqKey="Blum A">A Blum</name></author><author><name sortKey="Schlagenhauff, B" uniqKey="Schlagenhauff B">B Schlagenhauff</name></author><author><name sortKey="Stroebel, W" uniqKey="Stroebel W">W Stroebel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bastiaannet, E" uniqKey="Bastiaannet E">E Bastiaannet</name></author><author><name sortKey="Oyen, Wj" uniqKey="Oyen W">WJ Oyen</name></author><author><name sortKey="Meijer, S" uniqKey="Meijer S">S Meijer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wagner, Jd" uniqKey="Wagner J">JD Wagner</name></author><author><name sortKey="Schauwecker, D" uniqKey="Schauwecker D">D Schauwecker</name></author><author><name sortKey="Davidson, D" uniqKey="Davidson D">D Davidson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fink, Am" uniqKey="Fink A">AM Fink</name></author><author><name sortKey="Holle Robatsch, S" uniqKey="Holle Robatsch S">S Holle-Robatsch</name></author><author><name sortKey="Herzog, N" uniqKey="Herzog N">N Herzog</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ishimori, T" uniqKey="Ishimori T">T Ishimori</name></author><author><name sortKey="Patel, Pv" uniqKey="Patel P">PV Patel</name></author><author><name sortKey="Wahl, Rl" uniqKey="Wahl R">RL Wahl</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Miranda, Ep" uniqKey="Miranda E">EP Miranda</name></author><author><name sortKey="Gertner, M" uniqKey="Gertner M">M Gertner</name></author><author><name sortKey="Wall, J" uniqKey="Wall J">J Wall</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gold, Js" uniqKey="Gold J">JS Gold</name></author><author><name sortKey="Jaques, Dp" uniqKey="Jaques D">DP Jaques</name></author><author><name sortKey="Busam, Kj" uniqKey="Busam K">KJ Busam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buzaid, Ac" uniqKey="Buzaid A">AC Buzaid</name></author><author><name sortKey="Ross, Mi" uniqKey="Ross M">MI Ross</name></author><author><name sortKey="Balch, Cm" uniqKey="Balch C">CM Balch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shirkhoda, A" uniqKey="Shirkhoda A">A Shirkhoda</name></author><author><name sortKey="Albin, J" uniqKey="Albin J">J Albin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Buzaid, Ac" uniqKey="Buzaid A">AC Buzaid</name></author><author><name sortKey="Tinoco, L" uniqKey="Tinoco L">L Tinoco</name></author><author><name sortKey="Ross, Mi" uniqKey="Ross M">MI Ross</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Johnson, Tm" uniqKey="Johnson T">TM Johnson</name></author><author><name sortKey="Fader, Dj" uniqKey="Fader D">DJ Fader</name></author><author><name sortKey="Chang, Ae" uniqKey="Chang A">AE Chang</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Choi, Ea" uniqKey="Choi E">EA Choi</name></author><author><name sortKey="Gershenwald, Je" uniqKey="Gershenwald J">JE Gershenwald</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Damian, Dl" uniqKey="Damian D">DL Damian</name></author><author><name sortKey="Fulham, Mj" uniqKey="Fulham M">MJ Fulham</name></author><author><name sortKey="Thompson, E" uniqKey="Thompson E">E Thompson</name></author><author><name sortKey="Thompson, Jf" uniqKey="Thompson J">JF Thompson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Ann Oncol</journal-id><journal-id journal-id-type="iso-abbrev">Ann. Oncol</journal-id><journal-id journal-id-type="hwp">annonc</journal-id><journal-id journal-id-type="publisher-id">annonc</journal-id><journal-title-group><journal-title>Annals of Oncology</journal-title></journal-title-group><issn pub-type="ppub">0923-7534</issn><issn pub-type="epub">1569-8041</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">19617293</article-id><article-id pub-id-type="pmc">2712594</article-id><article-id pub-id-type="doi">10.1093/annonc/mdp256</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group></article-categories><title-group><article-title>Staging of cutaneous melanoma</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Mohr</surname><given-names>P.</given-names></name><xref ref-type="aff" rid="aff1">1</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Eggermont</surname><given-names>A. M. M.</given-names></name><xref ref-type="aff" rid="aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Hauschild</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Buzaid</surname><given-names>A.</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Elbekliniken, Buxtehude, Germany</aff><aff id="aff2"><label>2</label>Department of Surgical Oncology, Erasmus University Medical Center–Daniel den Hoed Cancer Center, Rotterdam, The Netherlands</aff><aff id="aff3"><label>3</label>Department of Dermatology, University of Kiel, Kiel, Germany</aff><aff id="aff4"><label>4</label>Centro de Oncologia do Hospital Sírio-Libanês, Sao Paulo, Brazil</aff><author-notes><corresp id="cor1"><label>*</label><italic>Correspondence to:</italic> Peter Mohr, Elbeklinikum Buxtehude, Am Krankenhaus 1, 21614 Buxtehude, Germany; Tel: +49-4161-703-0; Fax: +49-4161/703-6445; E-mail: <email>mohrpe@aol.com</email></corresp></author-notes><pub-date pub-type="epub-ppub"><month>8</month><year>2009</year></pub-date><pmc-comment>Fake ppub date generated by PMC from publisher pub-date/@pub-type='epub-ppub' </pmc-comment>
<pub-date pub-type="ppub"><month>8</month><year>2009</year></pub-date><pub-date pub-type="pmc-release"><month>8</month><year>2009</year></pub-date><pmc-comment> PMC Release delay is 0 months and 0 days and was based on the
<volume>20</volume><issue>Suppl 6</issue><issue-title>Melanoma: Perspectives of the Global Melanoma Task Force</issue-title><fpage>vi14</fpage><lpage>vi21</lpage><permissions><copyright-statement>© The Author 2009. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved.</copyright-statement><copyright-year>2009</copyright-year><license license-type="open-access"><license-p>The online version of this article has been published under an open access model. users are entitle to use, reproduce, disseminate, or display the open access version of this article for non-commercial purposes provided that: the original authorship is properly and fully attributed; the Journal and the European Society for Medical Oncology are attributed as the original place of publication with the correct citation details given; if an article is subsequently reproduced or disseminated not in its entirety but only in part or as a derivative work this must be clearly indicated. For commercial re-use, please contact journals.permissions@oxfordjournals.org</license-p></license></permissions><abstract><p>The American Joint Committee on Cancer (AJCC) staging of cutaneous melanoma is a continuously evolving system. The identification of increasingly more accurate prognostic factors has led to major changes in melanoma staging over the years, and the current system described in this review will likely be modified in the near future. Likewise, application of new imaging techniques has also changed the staging work-up of patients with cutaneous melanoma. Chest and abdominal computed tomography (CT) scanning is most commonly used for evaluation of potential metastatic sites in the lungs, lymph nodes and liver, and is indicated in patients with new symptoms, anaemia, elevated lactate dehydrogenase or a chest X-ray abnormality. CT scans should be restricted to patients with high-risk melanoma (stage IIC, IIIB, IIIC and stage IIIA with a macroscopic sentinel lymph node). Magnetic resonance imaging (MRI) of the brain is a mandatory test in patients with stage IV, optional in stage III and not used in patients with stage I and II disease. Positron emission tomography (PET)/CT is more accurate than CT or MRI alone in the diagnosis of metastases and should complement conventional CT/MRI imaging in the staging work-up of patients who have solitary or oligometastatic disease where surgical resection is most relevant.</p></abstract><kwd-group><kwd>follow-up</kwd><kwd>imaging</kwd><kwd>melanoma</kwd><kwd>staging system</kwd><kwd>staging work-up</kwd></kwd-group></article-meta></front></pmc><affiliations><list><country><li>Allemagne</li><li>Brésil</li><li>Pays-Bas</li></country><region><li>Hollande-Méridionale</li><li>Schleswig-Holstein</li><li>État de São Paulo</li></region><settlement><li>Kiel</li><li>Rotterdam</li><li>São Paulo</li></settlement></list><tree><country name="Allemagne"><noRegion><name sortKey="Mohr, P" sort="Mohr, P" uniqKey="Mohr P" first="P." last="Mohr">P. Mohr</name></noRegion><name sortKey="Hauschild, A" sort="Hauschild, A" uniqKey="Hauschild A" first="A." last="Hauschild">A. Hauschild</name></country><country name="Pays-Bas"><region name="Hollande-Méridionale"><name sortKey="Eggermont, A M M" sort="Eggermont, A M M" uniqKey="Eggermont A" first="A. M. M." last="Eggermont">A. M. M. Eggermont</name></region></country><country name="Brésil"><region name="État de São Paulo"><name sortKey="Buzaid, A" sort="Buzaid, A" uniqKey="Buzaid A" first="A." last="Buzaid">A. Buzaid</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/LymphedemaV1/Data/Pmc/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 003583 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd -nk 003583 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= LymphedemaV1
|flux= Pmc
|étape= Checkpoint
|type= RBID
|clé= PMC:2712594
|texte= Staging of cutaneous melanoma
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Pmc/Checkpoint/RBID.i -Sk "pubmed:19617293" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Pmc/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a LymphedemaV1
| This area was generated with Dilib version V0.6.31. |  |