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We read with interest the recent study by Brian and Jameson 1 on compliance with clearance margins recommended by the Clinical Practice Guidelines for the Management of Melanoma in Australia and New Zealand. Th ese guidelines recommend a 2 mm horizontal margin for cases of suspected melanoma treated with excision biopsy. 2 Th e recommendation of similar margins in many countries is beginning to stir debate on this topic. 3 , 4

Skin lesion suspicious of melanoma: time to one-step removal