Abstract
ASO Author Reflections: Effectiveness of SPECT/CT Imaging for Sentinel Node Biopsy Staging of Primary Cutaneous Melanoma and Patient Outcomes
Highlights
It is well documented that the original sentinel node biopsy technique has/had a definite false-negative rate
We suggest that preoperative SPECT/CT imaging of sentinel node(s) for melanoma patients represents a major improvement in accuracy in terms of the anatomical detail that is obtained
We have shown that this translates into an improved disease-free and melanoma-specific survival and, whilst this is not an RCT, we would strongly suggest that this improved survival benefit results from the earlier harvest of the nodal metastases for a small, but important subgroup of patients
Summary
It is well documented that the original sentinel node biopsy technique has/had a definite false-negative rate. More sentinel nodes were identified by the SPECT/ CT protocol (3 vs 2; p \ 0.0001).
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