title: Head and neck melanoma.
abstract: Wide local excision is the mainstay in the treatment of the primary lesion with consideration given to specific anatomic constraints in head and neck melanoma. Sentinel lymph node biopsy is considered in all lesions with ulceration, mitoses greater than or equal to 1/mm(2), stage1B or higher, and in all high-risk nonmetastatic melanoma. Reconstructive strategy must be considered in multidisciplinary teams with reconstructive surgeons for large head and neck defects.
authors.affiliation: Department of General Surgery, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA.
authors.forename: Jerry
authors.initials: J
authors.lastname: Cheriyan
authors.affiliation: Department of General Surgery/Surgical Oncology, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA. Electronic address: wernberg.jessica@marshfieldclinic.org.
authors.forename: Jessica
authors.initials: J
authors.lastname: Wernberg
authors.affiliation: Department of Otolaryngology/Head and Neck Surgery, Marshfield Clinic, 1000 North Oak Avenue, Marshfield, WI 54449, USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Urquhart
mesh_terms: D017024:Chemotherapy, Adjuvant; D055088:Early Detection of Cancer; D005260:Female; D006258:Head and Neck Neoplasms / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008487:Medical History Taking; D008545:Melanoma / Q000473:pathology* / Q000601:surgery; D037981:Neck Dissection / Q000379:methods; D009367:Neoplasm Staging; D010307:Parotid Neoplasms / Q000473:pathology / Q000601:surgery; D010808:Physical Examination; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods; D021701:Sentinel Lymph Node Biopsy; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery
keywords: Head and neck melanoma (HNM); Parotidectomy; Sentinel lymph node; Treatment of draining lymph node; Treatment of primary lesion