Histology and outcomes of newly detected lung lesions in melanoma patients Journal Article
| Authors: | Smyth, E. C.; Hsu, M.; Panageas, K. S.; Chapman, P. B. |
| Article Title: | Histology and outcomes of newly detected lung lesions in melanoma patients |
| Abstract: | Background: Melanoma frequently metastasizes to the lung. Improved radiologic techniques may decrease the need for biopsy of such lesions. The aim of this study was to examine factors predictive of a positive biopsy of melanoma. Methods: Using the Memorial Sloan-Kettering Cancer Center melanoma database, all patients with melanoma who had undergone biopsy of a suspicious new lung lesion from 1996 to 2009 were identified. Age, date of diagnosis, histology, and stage were obtained. Chart review was carried out to obtain medical history, smoking status, radiological appearance, and histology of lung lesions biopsied. Results: Two hundred and twenty-nine patients were identified; median age was 63 years; 48% were never smokers; 27% had a prior nonmelanoma cancer; 88% of lung nodules were malignant: 69% melanoma, 19% other cancers. Among 113 patients undergoing positron emission tomography (PET), proportions of benign, melanoma, and nonmelanoma 2-[fluorine-18]fluoro-2-deoxy-D-glucose-avid nodules did not differ (P = 0.53). On multivariable analysis, >stage I melanoma, negative smoking history, multiple lung nodules, and no prior nonmelanoma cancer were significantly associated with a melanoma biopsy result rather than other cancer. Conclusions: In this study, 31% of lung lesions were not melanoma. In the subset undergoing PET, this did not differentiate between benign and malignant lesions. Biopsy is mandated in melanoma patients with new lung nodules. © The Author 2011. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. |
| Keywords: | adolescent; adult; human tissue; aged; major clinical study; overall survival; cancer staging; positron emission tomography; melanoma; lung cancer; smoking; medical record review; histology; lung metastasis; fluorodeoxyglucose f 18; pet; lung biopsy; pulmonary nodules; predictive value; lung lesion; lung nodule |
| Journal Title: | Annals of Oncology |
| Volume: | 23 |
| Issue: | 3 |
| ISSN: | 0923-7534 |
| Publisher: | Oxford University Press |
| Date Published: | 2012-03-01 |
| Start Page: | 577 |
| End Page: | 582 |
| Language: | English |
| DOI: | 10.1093/annonc/mdr364 |
| PROVIDER: | scopus |
| PUBMED: | 21821550 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 2 April 2012" - "CODEN: ANONE" - "Source: Scopus" |
Altmetric
Citation Impact
BMJ Impact Analytics
Related MSK Work