Surgical management of primary cutaneous melanomas of the hands and feet

Annals of Surgery
J F TsengW W Souba

Abstract

The purpose of the study was to investigate the surgical management of cutaneous melanomas of the hands and feet. Prior studies suggest that patients with melanomes > 1-mm thick should be treated with excision with a 2-cm margin and undergo elective lymphadenectomy in selected circumstances. These recommendations are based primarily on data from melanomas of the trunk and extremities. Melanomas of the hands and feet are less common and less well studied. They pose a surgical challenge because primary wound closure often is difficult, and the incidence and management of regional node metastases are unclear. Charts of patients with melanomas of the hands or feet treated at the Massachusetts General Hospital between 1980 and 1994 were reviewed retrospectively. Local recurrence rates and the incidence of regional node metastases were analyzed as a function of histology, margin of excision, and microscopic thickness of the melanoma. Data from 116 patients (39 men, 77 women) with melanomas of the hands (n = 26) and feet (n = 90) were evaluated. Pathologic diagnoses were: acral lentiginous melanoma (48 patients); subungual melanoma (13 patients), and skin of dorsum of the hand or foot (n = 55). Digital amputation was required in all 1...Continue Reading

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Citations

Apr 28, 1999·Journal of Surgical Oncology·R A CowlesA E Chang
Aug 10, 2002·American Journal of Surgery·Alexandra DreselTodd M McCarty
Aug 19, 2009·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jordi RexCarlos Ferrándiz
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Sep 10, 2003·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Ljubomir PanajotovićBojan Stanojević
Mar 27, 2003·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Matthias MoehrleHelmut Breuninger
Dec 4, 2002·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Jennifer R StalkupRajani Katta
Jun 30, 2007·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Joseph F SobankoDavid A Kriegel
Jun 27, 2006·Dermatologic Clinics·Josette André, Nadine Lateur
Mar 30, 2001·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·D G Brodland
Sep 20, 2016·Journal of Surgical Oncology·Kyeong-Tae LeeGoo-Hyun Mun
Oct 17, 2002·Dermatologic Clinics·John A Carucci
Aug 28, 2007·Annals of Plastic Surgery·Aude WagnerJean-Pierre Chavoin
May 26, 2010·Yonsei Medical Journal·Mi Ryung RohKee Yang Chung
Jun 5, 2003·Annals of Plastic Surgery·Pier Camillo ParodiCarlo A Beltrami
May 11, 2017·Annals of Surgical Oncology·Kyeong-Tae LeeGoo-Hyun Mun
Dec 14, 2017·Clinical and Experimental Dermatology·A DesaiA Khachemoune
Apr 9, 2005·Clinics in Plastic Surgery·Maurice Y Nahabedian

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