2004
DOI: 10.1001/archderm.140.1.67
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Early Detection of Asymptomatic Pulmonary Melanoma Metastases by RoutineChest Radiographs Is Not Associated With Improved Survival

Abstract: Objective: To determine if earlier detection of pulmonary metastasis by routine chest radiography (CR) is associated with a prolonged survival.Design: A computer-assisted search of all CR reports on patients with melanoma between 1990 and 1994 at the Massachusetts General Hospital, Boston. Positive or suspicious findings for pulmonary metastasis were further pursued through review of medical records and tumor registry files.Setting and Patients: A hospital-based population of patients with melanoma undergoing … Show more

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Cited by 45 publications
(38 citation statements)
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References 19 publications
(25 reference statements)
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“…Moreover, conventional chest X-ray has been proven to be clearly inferior to CT for the detection of pulmonary metastases. In a retrospective study with 994 patients and 1938 analyzed conventional chest X-ray films of asymptomatic patients, there was no survival benefit in the event of a positive X-ray finding [111].…”
Section: Level Of Evidence 2bmentioning
confidence: 98%
See 2 more Smart Citations
“…Moreover, conventional chest X-ray has been proven to be clearly inferior to CT for the detection of pulmonary metastases. In a retrospective study with 994 patients and 1938 analyzed conventional chest X-ray films of asymptomatic patients, there was no survival benefit in the event of a positive X-ray finding [111].…”
Section: Level Of Evidence 2bmentioning
confidence: 98%
“…A total of 6 642 patient were included in a meta-analysis by Bafounta et al [113] comprising 12 trials that assessed the validity of sonography, compared to mere palpation, in the evaluation of lymph node invasion in melanoma patients. Use of sonography resulted in a higher differentiation (odds ratio of 1 755 [95 % CI 726-4 238] versus 21 [95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111]; p = 0.0001) not only at initial staging, but also during follow-up. These findings have been confirmed in subsequent studies.…”
Section: Level Of Evidence 1amentioning
confidence: 99%
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“…Iscoe et al [6] and Kersey et al [7] concluded CXR to be a valuable staging tool. However, recent studies documented a low detection rate of lung metastases by CXR in asymptomatic cMM patients [8][9][10]. Therefore, the value of CXR in detecting lung metastases at first presentation and during follow-up is controversial [8,9,11,12].…”
Section: Discussionmentioning
confidence: 99%
“…This appears to be the only cost-effective type of follow-up [6,10,11,12]. Screening with chest radiography or specific serum markers such as LDH, S-100 β protein and melanoma-inhibitory activity are not justified by the evidence [7,13,14,15,16]. …”
Section: Introductionmentioning
confidence: 99%