Clinical Study

Preoperative FDG-PET/CT Is an Important Tool in the Management of Patients with Thick (T4) Melanoma

Table 2

Altered surgical plan based on PET.

    Diagnosis    Operative plan
PatientPre-PET scanPost-PET scanPre-PET scanPost-PET scan

1Back melanomaAxillary uptakeWLE + SLNBWLE + L SLB +R LND
2Back melanomaAxillary uptakeWLE + SLNBWLE + bilateral LND
3Back melanomaL Hilar, R axillary, and liver uptakeWLE + SLNBWLE + R LND
4Forehead melanomaSubmandibular, periauricular uptakeWLE + SLNBWLE + parotidectomy + R MRND
5Leg melanomaInguinal node uptakeWLE + SLNBWLE + LND
6Foot melanomauptake at calfWLE + SLNBWLE + R LND + excision of In transit lesion

WLE = wide local excision; SLNB = sentinel lymph node biopsy; LND = lymph node dissection; MRND = modified radical neck dissection; R = right; L = left.