Although wide local excision is the standard treatment for primary melanomas, the surgical margin remains controversial. Melanomas of the head and neck exhibit higher recurrence rates and worse prognosis than lesions in other body locations and they are in close proximity to critical anatomical and functional structures where wide margins of excision are often not feasible. Surgeons must achieve a balance of oncological safety and functional and aesthetic needs.
The aim of this study was to retrospectively analyse melanoma data over a 12 year period at a large skin surgery unit and identify potential differences in outcomes in those patients who had reduced wide local excision margin for primary head and neck melanoma. (Source: The British Journal of Oral and Maxillofacial Surgery)
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