0
ARTICLE |

Excision Margins for Melanoma in Awkward Places Like the Eyelid-Reply

Marc Brown, MD; Lowell A. Goldsmith, MD
JAMA. 1993;269(5):588-589. doi:10.1001/jama.1993.03500050066020.
Text Size: A A A
Published online

ABSTRACT

In Reply.  —We respond to Dr Reifler's letter from two perspectives—that of the chair of the NIH Consensus Conference on the diagnosis and treatment of early melanoma (L.A.G.), and that of a dermatologic surgeon (M.B.). We speak for ourselves and not for the consensus panel.The 1-cm margins for melanoma excision must be used thoughtfully. The dimensions are a guide rather than an absolute rule in regions in which there are functioning vital structures and where there are important cosmetic considerations. Therefore, in such sites as the eyelid, lip, glands, and penis, smaller margins may be used, but in such circumstances careful histological checking of the margins for tumor are imperative. Mohs' surgery has been suggested for those lesions although the interpretation of the histologic margins in those instances can be difficult.The behavior of melanoma has been studied in different anatomical sites, and although special behavior has been suggested

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();