Evolution of Excisional Surgery Practices for Melanoma in the United States
Author(s) -
Michael P. Lee,
Joseph F. Sobanko,
Thuzar M. Shin,
Nicole Howe,
John S. Barbieri,
Christopher J. Miller,
Jeremy R. Etzkorn
Publication year - 2019
Publication title -
jama dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.128
H-Index - 166
eISSN - 2168-6084
pISSN - 2168-6068
DOI - 10.1001/jamadermatol.2019.2346
Subject(s) - medicine , interquartile range , mohs surgery , odds ratio , melanoma , surgery , cohort , logistic regression , dermatology , general surgery , cancer research
National Comprehensive Cancer Network guidelines for melanoma have consistently recommended wide local excision as the standard of care since their inception. Although surgery with more comprehensive margin assessment (eg, Mohs surgery) has been advocated for certain subsets of melanoma, how often these techniques are used in clinical practice is uncertain.
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