Scintigraphic and Histopathologic Findings in Patients with Malignant Melanoma of Trunk
Patient no. | Age (y) | Sex | Tumor type and location | Planar imaging* | Localization of nodes seen on planar imaging | SPECT/CT imaging | Surgical and histopathologic results | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
First nodes detected | Additional nodes | Single vs. multiple basins | Additional nodes† | Single vs. multiple basins | Clinically relevant added value‡ | ||||||||||
1 | 52 | M | L shoulder | L axilla | − | Single | L axilla, central | − | Single | − | Negative | ||||
2 | 24 | M | R shoulder | R axilla | − | Single | Apical, R axilla | + (IT) | Single | + | Negative | ||||
3 | 73 | M | Midupper back | L axilla | 2 L axilla, 1 R axilla | Multiple | In L axilla, 1 subscapular node and 1 central node | + pectoral node | Multiple | + | Negative | ||||
4 | 61 | M | L upper back | L axilla | 2 L axilla | Unclear | 2 central, 1 pectoral axillary node | + prescapular (IT) | Multiple | + | Negative | ||||
5 | 71 | M | R upper back | R axilla | 2 R axilla | Single | Central axillary nodes | − | Single | − | Negative | ||||
6 | 67 | M | Midupper back | L jugular chain, 2 nodes | L axilla, L occipital | Multiple | L jugular, axillary, and occipital nodes | − | Multiple | − | Negative | ||||
7 | 59 | F | Midupper back | L axilla | L axilla | Single | Central axillary nodes | − | Single | − | 1 positive SN node (axillary) | ||||
8 | 52 | F | Midupper back | R axilla, 2 nodes | L axilla, 2 nodes | Multiple | Bilateral central axillary nodes | − | Multiple | − | Negative | ||||
9 | 60 | M | R upper back | R axilla | − | Single | 1 axillary central node | + supraclavicular node, low jugular node | Multiple | + | Negative | ||||
10 | 55 | M | Midlower back | L axilla | L groin | Multiple | L central axilla node, L groin node | − | Multiple | − | 1 positive node (groin) | ||||
11 | 62 | M | Chest wall | − | − | − | − | + 1 central axillary node (hidden) | Single | + | Negative | ||||
12 | 26 | F | Abdominal wall | L groin, aberrant uptake | − | Unclear | L groin | + (?) parailiac nodes, aberrant uptake | Unclear | − | Negative (parailiac nodes and aberrant uptake not examined) |
↵* Including images obtained with 57Co flood source.
↵† Additional nodes detected on SPECT/CT only. Hidden = hidden by scatter radiation of injection site; IT = in-transit.
↵‡ SPECT/CT added data were considered clinically relevant if they guided surgeon to SNs that were undetected on planar images or to SNs in another basin.