Instytut Podstawowych Problemów Techniki
Polskiej Akademii Nauk

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J. Kruszewski



Ostatnie publikacje
1.  Maj M., Warszawik-Hendzel O., Szymańska E., Walecka I., Rakowska A., Antczak-Marczak M., Kuna P., Kruszewski J., Nasierowska-Guttmejer A., Litniewski J., Nowicki A., Olszewska M., Rudnicka L., High frequency ultrasonography: a complementary diagnostic method in evaluation of primary cutaneous melanoma, GIORNALE ITALIANO DI DERMATOLOGIA E VENEREOLOGIA, ISSN: 0392-0488, Vol.150, No.5, pp.595-601, 2015

Streszczenie:
Aim.
The aim of our study was to assess the usefulness of high frequency ultrasonography in the diagnosis of melanoma. Methods. We examined 84 patients with suspicious melanocytic skin lesions, including 19 cases of melanoma. In vivo high-resolution ultrasonography (30 MHz) was performed prior to excision.

Results.
In ultrasound scans early melanomas presented as flat oval or fusiform shaped structures and were clearly demarcated, while advanced melanomas were characterized by a roundish shape with less distinct borders. The ultrasonographic thickness of in situ melanomas ranged from 0.02 to 0.85 mm. In the case of invasive tumors, the mean thickness evaluated by high frequency ultrasonography was 10.7% higher compared to the Breslow Score (1.44±0.8 mm and 1.3±0.88 mm, respectively). In all melanomas of Breslow Score of 1 mm or more ultrasound also indicated a Breslow Score of 1 mm or more.

Conclusion.
High frequency ultrasound examination has limited value in differential diagnosis of melanoma, but it gives a clear picture of the size and depth of the tumor. The method should be used as a complementary method (after dermoscopy and, where applicable, reflectance confocal microscopy) in preoperative evaluation of the tumor. In some cases of locally advanced melanoma, ultrasound examination may allow to reduce the number of surgical procedures and favor the decision of a one-time surgical treatment (removal of primary tumor and sentinel lymph node biopsy at the same time).

Słowa kluczowe:
Dermoscopy - Diagnosis - Melanoma - Microscopy, confocal - Ultrasonography

Afiliacje autorów:
Maj M. - Medical University of Warsaw (PL)
Warszawik-Hendzel O. - inna afiliacja
Szymańska E. - Central Clinical Hospital of the MSWiA (PL)
Walecka I. - inna afiliacja
Rakowska A. - inna afiliacja
Antczak-Marczak M. - Medical University of Lodz (PL)
Kuna P. - Medical University of Lodz (PL)
Kruszewski J. - inna afiliacja
Nasierowska-Guttmejer A. - Central Clinical Hospital MSW (PL)
Litniewski J. - IPPT PAN
Nowicki A. - IPPT PAN
Olszewska M. - inna afiliacja
Rudnicka L. - Medical University of Warsaw (PL)
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