[Recurrent acral lentigous melanoma successfully treated with Mohs' micrographic surgery. Case report and review of the literature].
Mohs' micrographic surgery is an approach to selected skin cancer removal that aims to achieve the best prospect of total tumor excision simultaneously with maximal functional and cosmetic preservation. The advantage of the technique is that 100% of the surgical margin of the specimen, including the periphery and deep surface, can be examined intraoperatively by horizontally oriented frozen sections. This method offers cure rates significantly higher than conventional excision or other modalities. Mohs' micrographic surgery is the method of choice for removal of large, recurrent or incompletely excised skin cancers or for tumors located in functional and aesthetic relevant anatomic regions. The authors present a case of a 75-year-old man with a second time recurrent plantar invasive malignant melanoma successfully treated with Mohs' micrographic surgery technique and an immediate reconstruction using split-thickness skin graft.
Mátrai
Zoltán
Z
Országos Onkológiai Intézet Altalános és Mellkassebészeti Osztály Budapest Ráth Gy. u. 7-9. 1122. matraidok@freemail.hu
Plotár
Vanda
V
Liszkay
Gabriella
G
Fejos
Zsuzsanna
Z
Vámosi
Agnes
A
Dubóczky
Zsolt
Z
Rényi Vámos
Ferenc
F
Vámosi Nagy
István
I
Köves
István
I
Bartal
Alexandra
A
Schmidt
Emese
E
Tóth
László
L
D000368:Aged; D002280:Basal Cell Carcinoma / Q000601:surgery; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D005629:Frozen Sections; D006801:Humans; D008297:Male; D008545:Melanoma / Q000473:pathology* / Q000601:surgery*; D015580:Mohs Surgery / Q000379:methods*; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery*; D016038:Skin Transplantation; D014182:Transplantation, Autologous; D016896:Treatment Outcome