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首页> 外文期刊>Clinics in dermatology >Excision guidelines and follow-up strategies in cutaneous melanoma: Facts and controversies.
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Excision guidelines and follow-up strategies in cutaneous melanoma: Facts and controversies.

机译：皮肤黑色素瘤的切除指南和随访策略：事实与争议。

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摘要

The ongoing increase in melanoma incidence throughout Caucasian populations worldwide raises the question of an economic and efficient management of primary melanoma and follow-up. The primary treatment of a cutaneous melanoma is surgical excision. An excision biopsy is recommended, and safety margins of 1 cm for tumor thickness up to 2 mm and 2 cm for a higher tumor thickness should be applied at the primary excision or in a two-step procedure. When dealing with facial, acral, or anogenital melanomas, micrographic control of the surgical margins may be preferable to allow reduced safety margins and conservation of tissue. Whereas the treatment for primary melanoma is accepted world wide, follow-up strategies for melanoma patients are discussed controversially, and so far, no international consensus has been reached.
机译：全世界白人人群中黑色素瘤发生率的持续上升提出了对原发性黑色素瘤和后续治疗进行经济有效管理的问题。皮肤黑色素瘤的主要治疗方法是手术切除。建议进行切除活检，对于初次切除或分两步手术，应将肿瘤厚度最大为2 mm的安全裕度设置为1 cm，对于厚度更大的肿瘤将安全裕度设置为2 cm。当处理面部，肛门或肛门生殖器黑色素瘤时，对手术切缘进行显微控制可能是优选的，以减少安全切缘并保护组织。尽管全世界都接受原发性黑素瘤的治疗，但对黑素瘤患者的随访策略仍存在争议，到目前为止，尚未达成国际共识。

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