Experts analyze surgical treatments for melanoma

Among the many treatments for melanoma, surgical treatment is more common and can help patients achieve good results in the treatment of melanoma. Many patients will first consider this treatment method for melanoma , which is beneficial to the condition. So what are the common treatments for this type of melanoma? Let's talk about the common treatments for this type of melanoma.

Common treatments for this type of melanoma include:

1. Biopsy surgery: For patients suspected of malignant melanoma, the treatment of melanoma should be to remove the lesion together with the surrounding 0.5cm to 1cm normal skin and subcutaneous fat in one piece and then perform pathological examination. If it is confirmed to be malignant melanoma, the depth of infiltration will determine whether additional extensive excision is needed. Generally, incisional or forceps biopsy is not performed unless the lesion has ulcerated or the lesion is too large and one excision will cause disfigurement or disability and must be confirmed by pathology first. However, the incisional biopsy must be connected to radical surgery as close as possible. In a prospective analysis, the World Health Organization Collaborating Center for Diagnosis and Treatment Evaluation of Malignant Melanoma believes that excisional biopsy not only has no adverse effect on prognosis, but also can understand the depth and range of infiltration of the lesion through biopsy, which is conducive to formulating a more reasonable and appropriate surgical plan.

2. Palliative resection: For patients with large lesions and distant metastases who are not suitable for radical surgery, in order to relieve ulcer bleeding or pain, as long as anatomical conditions permit, debulking surgery or palliative resection can be considered for the treatment of melanoma.

3. Resection of primary lesions: The old view that 5 cm of normal skin must be included when resecting lesions has been abandoned. Most tumor surgeons only remove 1 cm of normal skin outside the tumor edge for thin lesions with a thickness of ≤1 mm. For lesions with a thickness of more than 1 mm, wide resection should be performed 3 cm to 5 cm away from the tumor edge. Malignant melanoma located at the extremities often requires finger (toe) amputation. This is also a common treatment for melanoma.

The above is the treatment method of melanoma analyzed by experts. I believe everyone should have a preliminary understanding of this. Patients should choose the appropriate treatment method of melanoma according to their actual condition. They must be cautious and it is very important for patients.