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Surgical management of primary melanoma
Author(s) -
Kaufmann R.
Publication year - 2000
Publication title -
clinical and experimental dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.587
H-Index - 78
eISSN - 1365-2230
pISSN - 0307-6938
DOI - 10.1046/j.1365-2230.2000.00691.x
Subject(s) - medicine , melanoma , occult , lentigo maligna , lymphadenectomy , sentinel node , biopsy , sentinel lymph node , stage (stratigraphy) , surgery , lentigo maligna melanoma , wide local excision , general surgery , dermatology , radiology , lymph node , cancer , pathology , breast cancer , paleontology , alternative medicine , cancer research , biology
Melanoma precursor lesions and stage I malignant melanomas are preferentially removed by excisional surgery. Several studies have supported the concept of a more conservative excision strategy. Reduced safety margins with a maximum of 2–3 cm enable us to cover most defects by simple skin flap techniques. In critical anatomical sites and in lentigo maligna melanoma migrographic surgery has recently gained importance. The value of adjuvant surgical procedures remains controversial. Possibly, the technique of sentinel‐node‐biopsy provides a better approach towards a more selective use of lymphadenectomy in patients with clinically occult micrometastases.