![]() However, melanoma in situ should be excised with 5–10 mm margins, with the aim of achieving complete histological clearance. invasive melanoma (pT4) > 4.0 mm thick: 2 cm marginsĬhanges in management as a result of the guideline: Based on currently available evidence, excision margins for invasive melanoma have been left unchanged compared with the 2008 guidelines.invasive melanoma (pT3) 2.01–4.00 mm thick: 1–2 cm margins.invasive melanoma (pT2) 1.01–2.00 mm thick: 1–2 cm margins.invasive melanoma (pT1) ≤ 1.0 mm thick: 1 cm margins.Main recommendations: The recommendations for definitive wide local excision of primary cutaneous melanoma are: The guidelines for definitive excision margins for primary melanomas have been revised as part of this process. The 2008 evidence-based clinical practice guidelines for the management of melanoma ( ) are currently being revised and updated in a staged process by a multidisciplinary working party established by Cancer Council Australia. Sentinel lymph node biopsy should be discussed for melanomas ≥ 1 mm thickness (≥ 0.8 mm if other high risk features) in which case lymphoscintigraphy must be performed before wider excision of the primary melanoma site. The melanoma is widely excised together with a safety margin of surrounding skin and subcutaneous tissue, after the diagnosis and Breslow thickness have been established by histological assessment of the initial excision biopsy specimen. Introduction: Definitive management of primary cutaneous melanoma consists of surgical excision of the melanoma with the aim of curing the patient.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |