title: [Basic principles of melanoma surgery].
abstract: Today, excisions of primary malignant melanomas of the skin are performed with a margin of 1 cm (Breslow-index < or = 1 mm) or 2-3 cm (Breslow-Index > 1 mm). Elective lymphadenectomy of locoregional lymph nodes is still under debate but therapeutic lymphadenectomy is always indicated. Unilocalized distant metastases should be resected in cases of slow growth and of a long-term interval (> 1 year) between the primary lesion and the occurrence of the metastases.
authors.affiliation: Abteilung für Allgemeine Chirurgie, Universitätsklinikum Essen.
authors.forename: M K
authors.initials: MK
authors.lastname: Walz
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008545:Melanoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D011379:Prognosis; D012878:Skin Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate
vernacular_title: Grundzüge der Melanomchirurgie.