The wide and deep excision of primary malignant melanoma: a dogma on the decline.
For years, a wide and deep excision of primary cutaneous melanomas has been recommended to achieve a better care and to decrease the risk of local recurrence of the disease. However, recent studies indicate that removal of peritumoral tissue beyond complete excision of the primary neoplasm does not decrease significantly the risk of local metastases. In addition, it confers no benefit to the patient survival.
Piérard-Franchimont
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Department of Dermatopathology, CHU Sart Tilman, University of Liège, Belgium.
Piérard
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GE
D006801:Humans; D008197:Lymph Node Excision; D008545:Melanoma / Q000401:mortality / Q000601:surgery*; D015580:Mohs Surgery; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control*; D012878:Skin Neoplasms / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome