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Melanoma pp 411-424 | Cite as

Reconstruction Options for Trunk and Extremity Melanoma

  • Oren Tessler
  • Alex M. Lin
  • Shukan Patel
  • Charles L. Dupin
Chapter

Abstract

Melanoma is a malignant tumor comprised of the pigment-containing cells known as melanocytes. The most proven risk factors for development of the disease are prolonged sun exposure and being fair-skinned (Fitzpatrick type I–II). In 2017, the incidence rate in the United States was 20.2 per 100,000 people, with ~9730 deaths annually. There are four major histopathologic subtypes of melanoma and their relative incidences are: lentigo maligna (10–40%), superficial spreading (30–60%), nodular (15–35%), and acral lentiginous (5–10%). In addition to the histopathologic subtypes, patient age and the total amount of sun exposure also impact the relative incidence of melanoma. Specifically, lentigo maligna is more commonly found in the elderly patient with chronic sun exposure.

Keywords

Melanoma Melanoma reconstruction Lower extremity flap Lower extremity reconstruction Trunk reconstruction Trunk flap Skin graft Local flap Local tissue rearrangement Upper extremity reconstructions Free perforator flaps 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Oren Tessler
    • 1
  • Alex M. Lin
    • 2
  • Shukan Patel
    • 3
  • Charles L. Dupin
    • 4
  1. 1.Department of SurgeryUniversity Medical Center, New OrleansNew OrleansUSA
  2. 2.Frank H. Netter MD School of Medicine at Quinnipiac UniversityHamdenUSA
  3. 3.Department of Plastics and Reconstructive SurgeryLouisiana State University Health Science Center – New OrleansNew OrleansUSA
  4. 4.Division of Plastic and Reconstructive Surgery, Department of SurgeryLouisiana State University Health Sciences CenterNew OrleansUSA

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