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Title: The significance of augmented radiocolloid uptake by the spleen in patients with malignant melanoma. Author: Sober AJ, Mintzis MM, Lew RA, Lo HH, Whalen C, McKusick KA, Potsaid MS, Vialotti C, Pearson B. Journal: J Nucl Med; 1979 Dec; 20(12):1232-6. PubMed ID: 536789. Abstract: Increase in splenic uptake of Tc-99m sulfur colloid was noted in 47 of 147 (32%) patients with cutaneous malignant melanoma early in the coure of disease. Patients with disseminated disease and/or clinical or laboratory evidence of hapatic dysfunction were excluded from study. Recurrence rate of 2 yr was higher for those patients with splenic scans demonstrating augmented uptake compared with patients having normal scans, 36% against 16% (p less than 0.02). These differences resulted from a much more favorable prognosis in women with normal scans contrasted with women with increased uptake, 6% against 26% (p less than 0.05). Women with increased splenic uptake, and all men regardless of scan status, seemed to have a higher rate of recurrence than women with normal spleen scans. Scan status may be an adjunctive prognostic marker in women.[Abstract] [Full Text] [Related] [New Search]