Current Controversies in Melanoma Treatment | Journal CME Article-Journal CME Article: Current Controversies in Melanoma Treatment V1

Journal CME Article: Current Controversies in Melanoma Treatment V1

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Video Summary

The presentation demonstrates staged perimeter excision (SMEX) for treating lentigo maligna in sensitive areas. The method involves removing narrow skin strips, inking the true margin, and creating a pentagon shape that results in five skin strips for analysis. Margins are examined on permanent sections, eliminating frozen section artifacts and allowing the use of immunostains. While awaiting results, the wound can be temporarily closed. If margins are positive, additional skin strips are removed and analyzed until clear. Once confirmed, the central tumor is excised and reconstruction is completed. This technique ensures thorough examination while simplifying wound care.

Keywords

staged perimeter excision

lentigo maligna

sensitive areas

immunostains

wound care