Journal
SURGICAL CLINICS OF NORTH AMERICA
Volume 100, Issue 1, Pages 61-+Publisher
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.suc.2019.09.001
Keywords
Melanoma; Cutaneous melanoma; Wide local excision; Melanoma margins; Melanoma biopsy; Melanoma synoptic report
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Primary cutaneous melanomas are potentially curative with surgical excision alone. Surgical management is based on several factors determined from the initial biopsy, including primary tumor thickness, histologic features including ulceration, and anatomic location. Cosmesis, although important, should be a secondary consideration as oncologic principles take precedence. Pathology has evolved to synoptic reporting with key variables to assist in staging and risk stratification.
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