A systematic review on external ear melanoma.

摘要: Summary Background External ear melanoma accounts for only 1% of all cutaneous melanomas, and data on its optimal management prognosis are limited. Aim We aim to review the literature external guide surgeons in treatment this uncommon peculiar pathology. Materials methods A systematic English language studies published from 1993 2013 was performed using PubMed electronic database. Data epidemiology, oncological (tumor resection regional lymph nodes management), reconstruction were extrapolated selected papers. Results The total number patients 858 (30 studies). helix most common location (57%); superficial spreading histopathological subtype (41%). mean Breslow thickness 2.01 mm, with 88% stage I–II patients. Sentinel node biopsy 45% patients, 8% positive nodes. Available fragmentary contrasting, but appears be main prognostic factor. There is a tendency towards reduced margins preservation underlying perichondrium cartilage. Local flaps popular reconstructive option. Conclusion To best our knowledge, presents largest series melanoma. no general agreement surgical management, favorable seems justify conservative treatments.