Resection of metastatic melanoma following wire localization guided by computed tomography or ultrasound

Presurgical Ultrasound-Guided Anchor-Wire Marking of Soft Tissue Metastases in Stage III Melanoma Patients

“…Until now, wire marking has been mainly reported for nonpalpable, suspicious breast tumors prior to biopsy with only anecdotal reports of complications such as infection or bleeding in the literature 6,7 . Recently, presurgical marking of melanoma metastases using a Copanz needle has been reported on six stage IV patients with solitary metastases located in the deep soft tissue or even in the peripelvic area 8 . However, in five of the six patients, marking of metastases was performed with CT guidance and administration of local anesthesia was necessary in all cases.…”

“…6,7 Recently, presurgical marking of melanoma metastases using a Copanz needle has been reported on six stage IV patients with solitary metastases located in the deep soft tissue or even in the peripelvic area. 8 However, in five of the six patients, marking of metastases was performed with CT guidance and administration of local anesthesia was necessary in all cases. In contrast, in this article all marking procedures of metastases were performed without local anesthesia solely with ultrasound guidance.…”

“…To facilitate surgical resection of tumor metastases as much as possible, the anchor‐wire marking method was developed. It has already been described for the biopsy of suspicious breast tumors that are not palpable 6,7 and in six patients with stage IV melanoma 8 . The aim of our study was to test the effectiveness of presurgical ultrasound‐guided anchor‐wire marking of melanoma metastases, particularly if metastases were of small size or unfavorably located.…”

“…It has already been described for the biopsy of suspicious breast tumors that are not palpable 6,7 and in six patients with stage IV melanoma. 8 The aim of our study was to test the effectiveness of presurgical ultrasound-guided anchor-wire marking of melanoma metastases, particularly if metastases were of small size or unfavorably located. Three patients were included in whom metastases were not found during surgery despite ultrasound-guided skin marking of the tumor location preoperatively.…”

Effectiveness of preoperative ultrasound-guided charcoal tattooing for localization of metastatic melanoma

“…Preoperative localization can be a useful option for such cases. A number of techniques for the localization of nonpalpable metastatic melanoma have been proposed, such as insertion of a wire or radioactive material within the targeted lesion under imaging guidance [15][16][17][18][19]. However, those procedures were reported in an extremely small number of cases and have not been established as standard treatment.…”