Mohs Micrographic Surgery for the Treatment of Cutaneous Melanoma

作者: Michael Campoli , Scott Freeman , David G. Brodland , John Zitelli

DOI: 10.1007/978-1-4471-2152-7_18

关键词: Sectioning techniqueMelanomaSurgeryCutaneous melanomaMicrographic surgerySurgical excisionMalignancyDermatologySurgical marginFrozen section procedureMedicine

摘要: Melanoma is a clinically and biologically diverse malignancy for which complete surgical excision offers the only chance cure. Current guidelines margins are based on consensus recommendations, clear, evidence-based data to guide surgeon in each case limited. Mohs micrographic surgery (MMS) ability assess 100% of margin, far better than evaluated with standard bread-loaf sectioning technique. Immunohistochemical stains such as MART-1 allow reliable identification melanoma frozen sections produce cure rates at least good traditional margins.

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