{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T15:20:30Z","timestamp":1786461630169,"version":"build-2736575974"},"reference-count":4,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:p>Melanoma surveillance guidelines vary. Melanoma recurrence patterns and detection methods were examined. Resected melanoma patients were reviewed. Recurrence detection included patient complaint (PC), physical exam (PE), cross-sectional imaging (CSI), and ultrasound (US). 276 patients were included: 131 stage I, 83 stage II, and 62 stage III. Recurrence rates were 8%, 24%, and 27%, respectively. For stage I patients, 46% of recurrences were local, 18% regional, and 36% distant. Patient complaint identified 55% of recurrences, PE 36%, and CSI 9%. For stage II, 20% of recurrences were local, 20% regional, and 60% distant. Patient complaint identified 35% of recurrences, PE 20%, and CSI 45%. For stage III, 6% of recurrences were local, 53% regional, and 41% distant. Patient complaint identified 17% of recurrences, PE 12%, CSI 59%, and US 12%. Average time to recurrence by stage was 23.7, 24.6, and 17.7 months, respectively. H&amp;P for all melanoma patients and CSI for higher stages are effective surveillance strategies.<\/jats:p>","DOI":"10.1177\/00031348241241718","type":"journal-article","created":{"date-parts":[[2024,3,29]],"date-time":"2024-03-29T00:42:30Z","timestamp":1711672950000},"page":"1963-1965","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Stage-Based Detection Methods and Recurrence Patterns for Cutaneous Melanoma"],"prefix":"10.1177","volume":"90","author":[{"given":"F. Grace","family":"Sullivan","sequence":"first","affiliation":[{"name":"Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Keith B.","family":"Adler","sequence":"additional","affiliation":[{"name":"Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine D.","family":"Boudreaux","sequence":"additional","affiliation":[{"name":"Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lexie M.","family":"Hensley","sequence":"additional","affiliation":[{"name":"Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morgan E.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Spencer","family":"Liles","sequence":"additional","affiliation":[{"name":"Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA"},{"name":"Department of Surgery, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. Harrison","family":"Howard","sequence":"additional","affiliation":[{"name":"Frederick P. Whiddon College of Medicine, University of South Alabama, Mobile, AL, USA"},{"name":"Department of Surgery, University of South Alabama, Mobile, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"bibr1-00031348241241718","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.02.070"},{"key":"bibr2-00031348241241718","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-008-0238-y"},{"key":"bibr4-00031348241241718","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.22.00202"},{"key":"bibr3-00031348241241718","doi-asserted-by":"publisher","DOI":"10.1002\/jso.25324"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241718","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241241718","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241241718","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:39:38Z","timestamp":1777379978000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241241718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,28]]},"references-count":4,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["10.1177\/00031348241241718"],"URL":"https:\/\/doi.org\/10.1177\/00031348241241718","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,28]]}}}