This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Citing articles on Web of Science (4)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Dermatologic Procedures  • Dermatologic Surgery  • Alert me on articles by topic  Social Bookmarking   What's this?

Arch Dermatol. 2004;140:607-608.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Bub and her colleagues¹ make an important contribution to our fund of knowledge with this report on surgical excision of lentigo maligna and lentigo maligna melanoma using staged excision with rapid permanent sections. The value of this study is that it provides scientific evidence to help clinicians address the current clinical problems of surgical margins for head and neck melanoma.

There are many problems confronting the surgeon planning treatment of lentigo maligna and lentigo maligna melanoma of the head and neck. First, it is more difficult for the surgeon to establish clinical margins in these areas compared with melanoma of the trunk or proximal extremities. Age- and sun-related skin changes such as solar lentigines, actinic keratoses, and seborrheic keratoses camouflage tumor-specific skin changes and make it more difficult for the clinician to outline the tumor margin.

Second, it is difficult to excise 1- or 2-cm margins for invasive melanoma without . . . [Full Text of this Article]

John A. Zitelli, MD
University of Pittsburgh Medical Center/Shadyside
5200 Centre Ave, Suite 303
Pittsburgh, PA 15232-1306

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Management of Lentigo Maligna and Lentigo Maligna Melanoma With Staged Excision: A 5-Year Follow-up
Jennifer L. Bub, Daniel Berg, April Slee, and Peter B. Odland
Arch Dermatol. 2004;140(5):552-558.
ABSTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Melanocytes in Long-standing Sun-Exposed Skin: Quantitative Analysis Using the MART-1 Immunostain.
Hendi et al.
Arch Dermatol 2006;142:871-876.
ABSTRACT | FULL TEXT