Malignant melanoma

  • M. H. Thelen
  • R. Bares

Abstract

The malignant melanoma belongs to the group of malignant tumors of the skin or mucous membrane. The global incidence of malignant melanomas has risen continuously over the past few years. In Europe, the incidence of malignant melanomas among the white population is 8 in 100 000, rising with greater proximity to the equator to 20 in 100 000. In the Federal Republic of Germany, the frequency of new cases has doubled every 12 to 15 years [11]. A main cause is said to be the changing exposure of the population to ultraviolet light, primarily as a result of changing living habits (brief exposure to high doses of UV light during leisure hours as against former exposure patterns which were chronic but not lower in cumulative terms) [20, 23]. Alongside exposure to UV light, skin type, hair color and the number of melanocytic naevi are all considered to constitute risk factors for the development of a malignant melanoma [2, 12]. Alongside race and gender (more favorable prognosis for women despite higher incidence), other prognostic factors include the anatomic localization of the primary tumor [13, 14, 34].

Keywords

Positron Emission Tomography Sentinel Node Melanoma Metastasis Primary Cutaneous Melanoma Conventional Staging 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. [1]
    Allen RE, Epstein WL (1992) Melanoma therapy. Clin Dermatol 10:317–325PubMedCrossRefGoogle Scholar
  2. [2]
    Autier P, Dore JF, Schifflers E (1995) Melanoma and the use of sunscreens: an EORTC case-control study in Germany, Belgium and France. Int J Cancer 61:749–755PubMedCrossRefGoogle Scholar
  3. [3]
    Blessing C, Feine U, Geiger L, Carl M, Rassner G, Fierlbeck G (1995) Positron emission tomography and ultrasonography - a comparative retrospective study assessing the diagnostic validity in lymph node metastases of malignant melanoma. Arch Dermatol 131:1394–1398PubMedCrossRefGoogle Scholar
  4. [4]
    Böni R, Huch Böni RA, Steinert H, Burg G, Buck A, Marincek B, Berthold T, Dummer R, Voellmy D, Ballmer B, von Schulthess GK (1995) Staging of metastatic melanoma by whole-body positron emission tomography using 2-fluorine-18-fluoro-2-deoxy-Dglucose. Br J Dermatol 132:556–562PubMedCrossRefGoogle Scholar
  5. [5]
    Böni R, Huch Böni RA, Steinert H, von Schulthess GK, Burg G (1996) Early detection of melanoma metastasis using fluorodeoxyglucose F-18 positron emission tomography. Arch Dermatol 132:875–876PubMedCrossRefGoogle Scholar
  6. [6]
    Böni R, Steinert H, Huch Böni RA, von Schulthess GK, Meyer J, Dummer R, Burg G, Westera G (1997) Radioiodine-labelled alpha-methyl-tyrosine in malignant melanoma: cell culture studies and results in patients. Br J Dermatol 137:96–100PubMedCrossRefGoogle Scholar
  7. [7]
    Breslow A (1970) Thickness, cross sectional areas and depth of invasion in the prognosis of cutaneous melanoma. Ann Surg 172:902–908PubMedCrossRefGoogle Scholar
  8. [8]
    Clark WH, From L, Bernardino EA, Mihm MC (1969) The histogenesis and biologic behavior of primary human malignant melanoma of the skin. Cancer Res 29:705–726PubMedGoogle Scholar
  9. [9]
    Damian DL, Fulham MJ, Thompson E, Thompson JF (1996) Positron emission tomography in the detection and management of metastatic melanoma. Melanoma Res 6:325–329PubMedCrossRefGoogle Scholar
  10. [10]
    Divgi CR, Larson SM (1989) Radiolabelled monoclonal antibodies in the diagnosis and treatment of malignant melanoma. Semin Nucl Med 19:252–261PubMedCrossRefGoogle Scholar
  11. [11]
    Garbe C, Büttner B, Weiß J, et al (1994a) Risk factors for developing cutaneous melanoma and criteria for identifying persons at risk: multicenter case-control study of the central malignant melanoma registry of the German dermatological society. J Invest Dermatol 102:695–699CrossRefGoogle Scholar
  12. [12]
    Garbe C, Büttner B, Weiß J, et al (1994b) Associated factors in the prevalence of more than 50 common melanocytic nevi, atypical melanocytic nevi and actinic lentigines: multicenter case-control study of the central malignant melanoma registry of the German dermatological society. J Invest Dermatol 102:700–705CrossRefGoogle Scholar
  13. [13]
    Garbe C, Büttner B, Bertz J, et al (1995a) Primary cutaneous melanoma: identification of prognostic groups and estimation of individual prognosis for 5093 patients. Cancer 75:2484–2491CrossRefGoogle Scholar
  14. [14]
    Garbe C, Büttner B, Bertz J, et al (1995b) Primary cutaneous melanoma: prognostic classification of anatomic location. Cancer 75:2492–2498CrossRefGoogle Scholar
  15. [15]
    Goydos JS, Ravikumar TS, Germino FJ, Yudd A, Bancila E (1998) Minimally invasive staging of patients with melanoma: sentinel lymphadenectomy and detection of the melanoma-spezific proteins MART-1 and tyrosinase by reverse transcriptase polymer-ase chain reaction. J Am Coll Surg 187:182–188PubMedCrossRefGoogle Scholar
  16. [16]
    Gritters LS, Francis IR, Zasadny KR, Wahl RL (1993) Initial assessment of positron emission tomography using 2-fluorine-18-fluoro-2-deoxy-D-glucose in the imaging of malignant melanoma. J Nucl Med 34:1420–1427PubMedGoogle Scholar
  17. [17]
    Hoffmeister H, Bertz J, Garbe C (1990) Mortality and incidence of malignant melanoma in Germany 1970–1986. In: Orfanos CE, Garbe C (eds) Malignant melanoma of the Skin: New Results of Epidemiology, Diagnosis, Experimental Research, Therapy and After-care. Zuckschwerdt Verlag GmbH, Munich, pp 3–12Google Scholar
  18. [18]
    Holder WD Jr, White RL, Zuger JH, Easton EJ Jr, Greene FL (1998) Effectiveness of positron emission tomography for the detection of melanoma metastases. Ann Surg 227:764–769PubMedCrossRefGoogle Scholar
  19. [19]
    Kagan R, Witt T, Bines S, Mesleh G, Economou S (1988) Gallium-67 scanning for malignant melanoma. Cancer 61:272–274PubMedCrossRefGoogle Scholar
  20. [20]
    Katsambas A, Nicolaidou E (1996) Cutaneous malignant melanoma and sun exposure - recent developments in epidemiology. Arch Dermatol 132:444–450PubMedCrossRefGoogle Scholar
  21. [21]
    Lindholm P, Leskinen S, Nagren K, Lehikoinen P, Ruotsalainen U, Teras M, Joensuu H (1995) Carbon-11-methionine PET imaging of malignant melanoma. J Nucl Med 36:1806–1810PubMedGoogle Scholar
  22. [22]
    Macfarlane DJ, Sondak V, Jahnson T, Wahl RL (1998) Prospective evaluation of 2[18F]-2-deoxy-D-glucose positron emission tomography in staging of regional lymph nodes in patients with cutaneous malignant melanoma. J Clin Oncol 16:1770–1776PubMedGoogle Scholar
  23. [23]
    MacKie RM, Hole DJ (1996) Incidence and thickness of primary tumours and survival of patients with cutaneous malignant melanoma in relation to socioeconomic status. BMJ 312:1125–1128PubMedCrossRefGoogle Scholar
  24. [24]
    Mishima Y, Imahori Y, Honda C, Hiratsuka J, Ueda S, Ido T (1997) In vivo diagnosis of human malignant melanoma with positron emission tomography using specific melanoma-seeking 18F-DOPA analogue. J Neurooncol 33:163–169PubMedCrossRefGoogle Scholar
  25. [25]
    Morton DL (1997) Sentinel lymphadenectomy for patients with clinical stage I melanoma. J Surg Oncol 66:267–269PubMedCrossRefGoogle Scholar
  26. [26]
    Rassner G (1992) Dermatology. In: Rassner G, Steinert U (eds) Dermatology. Textbook and Atlas. Urban & Schwarzenberg, München Wien BaltimoreGoogle Scholar
  27. [27]
    Reske SN, Bares R, Büll U, Guhlmann A, Moser E, Wannenmacher MF (1996) Clinical value of positron emission tomography (PET) in oncologic questions: results of an interdisciplinary consensus conference. Under the patronage of the German Society of Nuclear Medicine. Nuklearmedizin 35:42–52PubMedGoogle Scholar
  28. [28]
    Rinne D, Baum RP, Hör G, Kaufmann R (1998) Primary staging and follow-up of high risk melanoma patients with whole-body 18F-fluorodeoxyglucose positron emission tomography: results of a prospective study of 100 patients. Cancer 82:1664–1671PubMedCrossRefGoogle Scholar
  29. [29]
    Steinert HC, Huch Böni, RA, Buck A, Böni R, Berthold T, Marincek B, Burg G (1995) Malignant melanoma: staging with whole-body positron emission tomography and 2[F-18]-fluoro-2-deoxy-D-glucose. Radiology 195:705–709PubMedGoogle Scholar
  30. [30]
    Steinert HC, Ullrich SP, Böni R, von Schulthess GK, Dummer R (1998a) Cost-effectiveness of staging in malignant melanoma: whole body PET vs. conventional staging methods. Nuklearmedizin 37:A37, V 136 (abstr)Google Scholar
  31. [31]
    Steinert HC, Voellmy DR, Trachsel C, Bicik I, Buck A, Huch RA, von Schulthess GK (1998b) Planar coincidence scintigraphy and PET in staging of malignant melanoma. J Nucl Med 39:1892–1897Google Scholar
  32. [32]
    Stolz W, Landthaler M (1994) Classification, diagnosis and differential diagnosis of malignant melanoma. Chirurg 64:145–152Google Scholar
  33. [33]
    Valk PE, Pounds TR, Tesar RD, Hopkins DM, Haseman MK (1996) Cost-effectiveness of PET imaging in clinical oncology. Nucl Med Biol 23:737–743PubMedCrossRefGoogle Scholar
  34. [34]
    Vollmer RT (1989) Malignant melanoma: a multivariate analysis of prognostic factors. Pathol Ann 24:383–407Google Scholar
  35. [35]
    Wagner JD, Schauwecker D, Hutchins G, Coleman JJ 3rd (1997) Initial assessment of positron emission tomography for detection of nonpalpable regional lymphatic metastases in melanoma. J Surg Oncol 64:181–189PubMedCrossRefGoogle Scholar
  36. [36]
    Wagner JD, Schauwecker D, Davidson D, Coleman JJ 3rd, Saxman S, Hutchins G, Love C, Hayes JT (1999) Prospective study of fluorodeoxyglucose-positron emission tomography imaging of lymph node basins in melanoma patients undergoing sentinel node biopsy. J Clin Oncol 17:1508–1515PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • M. H. Thelen
  • R. Bares

There are no affiliations available

Personalised recommendations