Methods of Preoperative Morphological Verification of Skin Melanoma. Current Approaches and Development Prospects
https://doi.org/10.37489/0235-2990-2026-71-1-2-42-47
EDN: QWGCGF
Abstract
Cutaneous melanoma (CM) is a serious problem of modern oncology, both in Russia and in many countries of the world. According to the Global Canсer Registry, 331,722 new cases of cutaneous melanoma were reported in 2022, of which 4% were patients from the Russian Federation. Skin melanoma accounts for 70.3% of deaths in patients with malignant skin tumors. Over the past decade, there has been an annual increase in melanoma cases by 3–4%, especially among people with light skin phototypes. Morphological verification of primary cutaneous melanoma (CM) is a critically important stage in the diagnosis and determination of adequate treatment tactics for this disease. Histological and cytological verification are necessary methods for accurate confirmation of the diagnosis and determination of prognostic factors for the disease. This review aims to analyze the diagnostic value of various methods of primary verification of CM, as well as further prospects for improving diagnostics.
About the Authors
I. A. PolyakovRussian Federation
Ilya A. Polyakov — Oncologist at the Oncology Department No. 1
Moscow
Competing Interests:
Авторы заявляют об отсутствии конфликта интересов.
E. Yu. Neretin
Russian Federation
Evgeny Yu. Neretin — D. Sc. in Medicine, Oncologist, Senior Researcher
Moscow
Competing Interests:
Авторы заявляют об отсутствии конфликта интересов.
K. S. Titov
Russian Federation
Konstantin S. Titov — D. Sc. in Medicine, Professor, Oncologist, Surgeon, Leading Researcher
Moscow
Competing Interests:
Авторы заявляют об отсутствии конфликта интересов.
N. Yu. Sokolov
Russian Federation
Nikolay Yu. Sokolov — Ph. D. in Medicine, Oncologist, Senior Researcher
Moscow
Competing Interests:
Yu.
S. S. Lebedev
Russian Federation
Sergey S. Lebedev — D. Sc. in Medicine, Oncologist, Surgeon, Deputy Chief Physician for Oncology, Leading Researcher; Professor at the Department of Surgery
Moscow
Competing Interests:
Авторы заявляют об отсутствии конфликта интересов.
V. M. Kulushev
Russian Federation
Vadim M. Kulushev — Ph. D. in Medicine, Oncologist, Proctologist, Head of the Oncocoloproctology Department No. 74, Senior Researcher
Moscow
Competing Interests:
Авторы заявляют об отсутствии конфликта интересов.
T. A. Yakusheva
Russian Federation
Tatyana A. Yakusheva — Oncologist, Head of the Oncology Department No. 1
Moscow
Competing Interests:
Авторы заявляют об отсутствии конфликта интересов.
References
1. GLOBOCAN. International Agency for Research on Cancer. World Health Organization 2022.
2. Zlokachestvennye novoobrazovaniya v Rossii v 2023 godu (zabolevaemost i smertnost). AD Kaprin, VV Starinskiy, AO Shakhzadova. Moscow: MNIOI im. P. A. Gertsena — filial FGBU «NMIRTS im. P. A. Gertsena» Minzdrava Rossii. 2024; 252. ISBN 978-5-85502-268-1. (in Russ.)].
3. Prikaz MZ RF №116н ot 19.02.2021 «Ob utverzdenii poriadka okazania medicinskoi pomoschi pri onkologicheskih zabolevaniah». (in Russ.)].
4. Ministerstvo zdravookhraneniya Rossijskoj Federatsii. Klinicheskie rekomendatsii RF 2023 «Melanoformnyj nevus». Rubrikator KR. (in Russ.)].
5. Moscarella E, Argenziano G, Moreno C, Piana S, Lallas A, Lombardi M, Longo C, Ferrara G. Intralesional (incision) biopsy for melanoma diagnosis: the rules and the exception. G Ital Dermatol Venereol. 2017 Dec; 152 (6): 658–662. doi: 10.23736/S0392-0488.16.05376-1. Epub 2016 Apr 20. PMID: 27096540.
6. Swetter SM, Tsao H, Bichakjian CK, Curiel-Lewandrowski C, Elder DE, Gershenwald JE, Guild V, Grant-Kels JM, Halpern AC, Johnson TM, Sober AJ, Thompson JA, Wisco OJ, Wyatt S, Hu S, Lamina T. Guidelines of care for the management of primary cutaneous melanoma. J Am Acad Dermatol. 2019 Jan; 80 (1): 208–250. doi: 10.1016/j.jaad.2018.08.055. Epub 2018 Nov 1. PMID: 30392755.
7. National Comprehensive Cancer Network (NCCN). Melanoma: Cutaneous. Version 1.2026. NCCN Clinical Practice Guidelines in Oncology.
8. Hieken TJ, Hernández-Irizarry R, Boll JM, Jones Coleman JE. Accuracy of diagnostic biopsy for cutaneous melanoma: implications for surgical oncologists. Int J Surg Oncol. 2013; 2013:196493. doi: 10.1155/2013/196493. Epub 2013 Sep 11. PMID: 24102023; PMCID: PMC3786502.
9. Koss LG, Melamed MR. Diagnostic Cytology and Its Histopathologic Bases. 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
10. Hall BJ, Schmidt RL, Sharma RR, Layfield LJ. Fine-needle aspiration cytology for the diagnosis of metastatic melanoma: systematic review and meta-analysis. Am J Clin Pathol. 2013 Nov; 140 (5): 635–42. doi: 10.1309/AJCPWSDDHLLW40WI. PMID: 24124141.
11. Ronchi A, Montella M, Zito Marino F, Argenziano G, Moscarella E, Brancaccio G, Ferraro G, Nicoletti GF, Troiani T, Franco R, Cozzolino I. Cytologic diagnosis of metastatic melanoma by FNA: A practical review. Cancer Cytopathol. 2022 Jan; 130 (1): 18–29. doi: 10.1002/cncy.22488. Epub 2021 Jul 26. PMID: 34310059; PMCID: PMC9292535.
12. Pflugfelder A, Weide B, Eigentler TK, Forschner A, Leiter U, Held L, Meier F, Garbe C. Incisional biopsy and melanoma prognosis: Facts and controversies. Clin Dermatol. 2010 May–Jun; 28 (3): 316–318. doi: 10.1016/j.clindermatol.2009.06.013. PMID: 20541685.
13. Bong JL, Herd RM, Hunter JAA. Incisional biopsy and melanoma prognosis. J Am Acad Dermatol. 2002; 46 (5): 690–694. doi: 10.1067/mjd.2002.123488.
14. Mills JK, White I, Diggs B., Fortino J, Vetto J. Effect of biopsy type on outcomes in the treatment of primary cutaneous melanoma. Am J Surg. 2013; 205 (5): 585–590. discussion 590. doi: https: 10.1016/j.amjsurg.2013. 01.023.
15. Yu N, Wu L, Su J, Huang K, Liu S, Lu L, Li Y, Jiang Z, Zheng A, Zhu Z, Liao M, Zhao S, Wei T. Preoperative ultrasound-guided incisional biopsy enhances the pathological accuracy of incisional biopsy of cutaneous melanoma: a prospective clinical trial in chinese patients. J Ultrasound Med. 2022 Nov; 41 (11): 2841–2848. doi: 10.1002/jum.15972. Epub 2022 Mar 1. PMID: 35233820.
16. Sellyn GE, Lopez AA, Ghosh S, Topf MC, Chen H, Tkaczyk E, Powers JG. High-frequency ultrasound accuracy in preoperative cutaneous melanoma assessment: A meta-analysis. J Eur Acad Dermatol Venereol. 2025 Jan; 39 (1): 86–96. doi: 10.1111/jdv.20179. Epub 2024 Jul 5. PMID: 38967397; PMCID: PMC11664467.
17. Busser B, Lupo J, Sancey L, Mouret S, Faure P, Plumas J, Chaperot L, Leccia MT, Coll JL, Hurbin A, Hainaut P, Charles J. Plasma circulating tumor DNA levels for the monitoring of melanoma patients: landscape of available technologies and clinical applications. Biomed Res Int. 2017; 2017: 5986129. doi: 10.1155/2017/5986129. Epub 2017 Apr 6. PMID: 28484715; PMCID: PMC5397613.
18. Prasad ML, Jungbluth AA, Iversen K, Huvos AG, Busam KJ. Expression of melanocytic differentiation markers in malignant melanomas of the oral and sinonasal mucosa. Am J Surg Pathol. 2001 Jun; 25 (6): 782–787. doi: 10.1097/00000478-200106000-00010. PMID: 11395556.
19. Hayward NK, Wilmott JS, Waddell N, Johansson PA, Gield MA, Nones K, et al. Whole-genome landscapes of major melanoma subtypes. Nature. 2017; 545 (7652): 175–180. doi: 10.1038/nature22071.
20. Esteva A, Kuprel B, Novoa RA, Ko J, Swetter SM, Blau HM, Thrun S. Dermatologist-level classification of skin cancer with deep neural networks. Nature. 2017; 542 (7639): 115–118. doi: 10.1038/nature21056.
Review
For citations:
Polyakov IA, Neretin EY, Titov KS, Sokolov NY, Lebedev SS, Kulushev VM, Yakusheva TA. Methods of Preoperative Morphological Verification of Skin Melanoma. Current Approaches and Development Prospects. Antibiotiki i Khimioterapiya = Antibiotics and Chemotherapy. 2026;71(1-2):42-47. (In Russ.) https://doi.org/10.37489/0235-2990-2026-71-1-2-42-47. EDN: QWGCGF
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