Surgical treatment for melanoma

Melanoma is a tumor distributed on the surface of the skin and it is very harmful to people. Therefore, people are very concerned about the treatment of melanoma . So, what are the methods for treating melanoma? In response to this question, let's introduce the treatment methods of melanoma in detail.

1. The scope of primary lesion resection in the treatment of melanoma: The old view that 5 cm of normal skin must be included when resecting the lesion 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, and perform wide resection 3 cm to 5 cm away from the tumor edge for lesions with a thickness of more than 1 mm. Malignant melanoma located at the extremities often requires finger (toe) amputation.

2. Biopsy: For patients suspected of malignant melanoma, the lesion should be removed together with the surrounding 0.5cm to 1cm normal skin and subcutaneous fat for pathological examination. If it is confirmed to be malignant melanoma, the depth of infiltration will determine whether additional extensive excision is needed. Incisional or forceps biopsy is generally not performed in the treatment of melanoma, unless the lesion has ulcerated or the lesion is too large and a single 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.

3. Palliative resection: For patients with large lesions and distant metastases who are not suitable for radical surgery, debulking or palliative resection may be considered to relieve ulcer bleeding or pain, as long as anatomical conditions permit. This is one of the treatments for melanoma.

The above is an introduction to surgical treatment of melanoma. It is for your reference only. If you have symptoms of melanoma, do not delay treatment. Please go to a regular hospital for treatment in time. If you have any questions about the treatment of melanoma, please consult an online expert!

For more information, please visit the melanoma disease topic http://www..com.cn/waike/dhl/ or consult with experts for free. The experts will give detailed answers based on the patient's specific situation!