Seminars in Oncology
Volume 29, Issue 4 , Pages 328-335, August 2002

Surgical techniques of melanoma and sentinel node biopsy

Melanoma Unit, European Institute of Oncology, Milan, Italy; and the Department of Surgery, National Cancer Institute Pascale, Naples, Italy

Abstract 

The adequacy of surgical treatment of melanoma patients is the most important milestone in the natural history of the disease, once the diagnosis has been confirmed. Surgery plays a fundamental role in the initial stages of the disease, ie, to remove the primary lesion and to excise accurately the locoregional metastases. On the contrary, the impact of a surgical indication to treat distant metastases has never been confirmed in a prospective study; thus, there are no standard guidelines and it represents a decision to be discussed with each individual patient. Semin Oncol 29:328-335. Copyright 2002, Elsevier Science (USA). All rights reserved.

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 Address reprint requests to Alessandro Testori, MD, Co-director, Divisione di Chirurgia Generale, Head Unità Melanoma, Istituto Europeo di Oncologia, via Ripamonti 435, 20141 Milano, Italy.

PII: S0093-7754(02)50262-1

doi:10.1053/sonc.2002.34110

Seminars in Oncology
Volume 29, Issue 4 , Pages 328-335, August 2002