sonography of the primary cutaneous melanoma a review主要皮肤黑色素瘤的超声评估.pdfVIP

Hindawi Publishing Corporation Radiology Research and Practice Volume 2012, Article ID 814396, 6 pages doi:10.1155/2012/814396 Review Article Sonography of the Primary Cutaneous Melanoma: A Review Ximena Wortsman Department of Radiology, Clinica Servet, Faculty of Medicine, University of Chile, Almirante Pastene 150, Providencia, Santiago, Chile Correspondence should be addressed to Ximena Wortsman, xwo@tie.cl Received 28 July 2011; Revised 11 October 2011; Accepted 13 November 2011 Academic Editor: Christiane A. Voit Copyright © 2012 Ximena Wortsman. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The diagnosis and management of primary cutaneous melanoma have traditionally relied on clinical and histological characteristics. Nevertheless, in recent years there has been a significant growth in the usage of ultrasound for studying the cutaneous layers. Thus, the present paper focuses on the primary lesion, its sonographic characteristics, the potential benefits of early imaging, and the new developments on the ultrasound field applied to cutaneous melanoma. 1. Introduction 95% confidence interval 0.99 to 1.28) but the results have not reached statistical significance (P 0.05 level). Furthermore, Cutaneous malignant melanoma constitutes 4 to 11% of all randomized trial evidence seems to be insufficient to address skin cancers but is responsible for more than 75% of skin optimal excision margins for primary cutaneous melanoma cancer-related de