Case A: Multiple mapping techniques to guide staged excision for a challenging lentigo maligna melanoma Book Section
| Authors: | Cameron, M. C.; Chen, C. S. J. |
| Editors: | Nehal, K. S.; Busam, K. J. |
| Article/Chapter Title: | Case A: Multiple mapping techniques to guide staged excision for a challenging lentigo maligna melanoma |
| Abstract: | We present a multimodality mapping approach to guide staged excision for challenging lentigo maligna (LM) and lentigo maligna melanoma (LMM) lesions. LM/LMM often present with ill-defined clinical borders and subclinical tumor extension on the head and neck, where preservation of functionality and cosmesis can be critical. In our approach, pre-surgical evaluation of clinical margins is defined with the use of Wood’s Lamp, dermoscopy, confocal microscopy, and scouting punch biopsies. Once pre-operative margin mapping has been completed, a staged excision with complete pathologic assessment prior to final excision and subsequent closure is performed. Our approach ensures complete resection of these difficult-to-manage LM/LMM cases while preserving healthy tissue in order to minimize the impact on cosmesis and functionality. © Springer International Publishing Switzerland 2017. |
| Keywords: | dermoscopy; confocal microscopy; lentigo maligna; staged excision; lentigo maligna melanoma; scouting biopsy; wood’s lamp |
| Book Title: | Lentigo Maligna Melanoma: Challenges in Diagnosis and Management |
| ISBN: | 978-3-319-43785-9 |
| Publisher: | Springer |
| Publication Place: | Cham, Switzerland |
| Date Published: | 2017-01-01 |
| Start Page: | 203 |
| End Page: | 210 |
| Language: | English |
| DOI: | 10.1007/978-3-319-43787-3_16 |
| PROVIDER: | scopus |
| DOI/URL: | |
| Notes: | Book Chapter: 16 -- Export Date: 2 June 2017 -- Source: Scopus |
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