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Melanoma pp 313-322 | Cite as

Current Surgical Management of Primary Cutaneous Melanoma

  • Adam I. Riker
  • Marco Antonio Rajo
  • Stephen L. Lambert
  • Jonathan S. Lam
Chapter

Abstract

The surgical management of melanoma has dramatically changed over the last few decades. Through the development and conduction of well-designed prospective, randomized trials, we have been able to refine the way that we surgically manage patients with melanoma. Indeed, many important issues have been addressed through such trials: the proper surgical margins for the primary melanoma, utility of the elective lymph node dissection, and the role for selective lymphadenectomy, to name a few. In this review, we will provide an overview of the current literature and offer practice guidelines for the surgical management of the primary melanoma.

Keywords

Melanoma Sentinel node Lymphoscintigraphy Complete lymph node dissection Isolated limb perfusion Multidisciplinary cancer care Surgical management Cytoreductive surgery 

Abbreviations

CLND

Complete lymph node dissection

ELND

Elective lymph node dissection

NCCN

National Comprehensive Care Network

PET

Positron emission tomography

SLN

Sentinel lymph node(s)

SLNB

Sentinel lymph node biopsy

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Adam I. Riker
    • 1
  • Marco Antonio Rajo
    • 1
  • Stephen L. Lambert
    • 2
  • Jonathan S. Lam
    • 1
  1. 1.Section of Surgical Oncology, Department of Surgery, School of MedicineLouisiana State UniversityNew OrleansUSA
  2. 2.Department of Family Medicine, Health Science CenterLouisiana State UniversityNew OrleansUSA

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