Usefulness of the staged excision for lentigo maligna and lentigo maligna melanoma: The “square” procedure - 11/05/12
Abstract |
Background: Management of lentigo maligna (LM) and lentigo maligna melanoma (LMM) may present problems because of the characteristic, yet unpredictable, subclinical peripheral and periadnexal extension of atypical junctional melanocytic hyperplasia beyond the visible margins. Objective: We used paraffin-embedded (permanent) peripheral vertical section margin control in a staged fashion in the management of LM and LMM. Methods: We used a modification of surgical excision in a staged fashion by means of a two-bladed knife with permanent peripheral vertical section margin control. Results: This method is technically easy and results in complete histologic evaluation of the peripheral margins without compromising the measurement of tumor thickness of the primary melanoma. Conclusion: The use of the “square” procedure, a staged excision with permanent peripheral vertical section margin control, is useful in the management of LM and LMM. (J Am Acad Dermatol 1997;37:758-64.)
Le texte complet de cet article est disponible en PDF.Plan
 | Reprint requests: Timothy M. Johnson, MD, University of Michigan, Department of Dermatology, 1910 Taubman Center, Box 0314, Ann Arbor, MI 48109-0314. |
| 0190-9622/97/$5.00 + 0 16/1/83769 |
Vol 37 - N° 5P1
P. 758-764 - novembre 1997 Retour au numéro
Article précédent
- Recurrence rates of excised keloids treated with postoperative triamcinolone acetonide injections or interferon alfa-2b injections
- Brian Berman, Francisco Flores, From the Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine.
- Cytochrome P-450 3A: Interactions with dermatologic therapies
- Michael I. Singer, Lori E. Shapiro, Neil H. Shear
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?