Cure and cosmesis in the management of primary malignant melanoma
1990

Managing Melanoma: Surgery and Cosmesis

Editorial

Author Information

Author(s): G.T. Neades, L.E. Hughes

Primary Institution: University of Wales College of Medicine

Conclusion

Narrower excision margins can be effective for thin melanomas, and cosmetic outcomes can be improved with careful surgical techniques.

Supporting Evidence

  • Thin melanomas rarely recur even with narrow excision margins.
  • Local recurrence rates are significantly lower for lesions with adequate excision margins.
  • Cosmetic results can be improved with primary closure techniques.

Takeaway

Doctors can sometimes remove less skin around thin melanomas and still keep patients healthy, which also helps them look better after surgery.

Methodology

The editorial discusses historical and recent surgical practices for melanoma treatment, including excision margins and cosmetic considerations.

Potential Biases

Potential bias in the interpretation of retrospective studies and varying practices among surgeons.

Limitations

The editorial does not provide specific data or controlled study results to support all claims.

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