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  • Title: Is there an indication for routine chest X-ray in initial staging of melanoma?
    Author: Vermeeren L, van der Ent FW, Hulsewé KW.
    Journal: J Surg Res; 2011 Mar; 166(1):114-9. PubMed ID: 19691983.
    Abstract:
    BACKGROUND: Our aim was to evaluate therapeutic consequences of preoperative staging with Chest X-ray (CXR) in patients with a primary melanoma planned for sentinel node biopsy (SNB). METHODS: From a prospective database, 248 medical records of patients treated for primary melanoma were extracted. CXRs were made prior to SNB, and examined by radiologists. Results were classified as follows: no metastasis, inconclusive, or suspect for metastasis. Furthermore, changes in planned treatment were recorded. RESULTS: CXR was performed in 227 (92%) cases. In 95% of these patients, the CXR showed no metastasis. In 5%, the CXR was inconclusive; all of these CXR results appeared to be false-positive after complementary radiodiagnostic imaging and/or follow-up. All patients received a SNB. CONCLUSION: Preoperative CXR did not identify pulmonary metastasis and did not change planned treatment strategies. We suggest that CXR has no added value in the routine workup of patients with a primary melanoma.
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