Melanoma of the lentigo maligna subtype: Diagnostic challenges and current treatment paradigms Journal Article


Authors: McGuire, L. K.; Disa, J. J.; Lee, E. H.; Busam, K. J.; Nehal, K. S.
Article Title: Melanoma of the lentigo maligna subtype: Diagnostic challenges and current treatment paradigms
Abstract: Melanoma of the lentigo maligna subtype presents diagnostic and treatment challenges because of ill-defined clinical margins in cosmetically and functionally sensitive areas of the head and neck with extensive sun damage. This review highlights the natural history, varied clinical presentations, and pitfalls in histologic diagnosis. The focus is on the surgical management, comparing excision and pathologic tissue processing techniques of wide excision, Mohs micrographic surgery, and staged excision. Staged excision is recommended for optimal surgical margin control. Nonsurgical treatment modalities are also reviewed for the elderly or unresectable cases. Copyright © 2012 by the American Society of Plastic Surgeons.
Journal Title: Plastic and Reconstructive Surgery
Volume: 129
Issue: 2
ISSN: 0032-1052
Publisher: Lippincott Williams & Wilkins  
Date Published: 2012-02-01
Start Page: 288e
End Page: 299e
Language: English
DOI: 10.1097/PRS.0b013e31823aeb72
PROVIDER: scopus
PUBMED: 22286443
DOI/URL:
Notes: --- - "Export Date: 1 March 2012" - "CODEN: PRSUA" - "Source: Scopus"
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  1. Joseph Disa
    262 Disa
  2. Kishwer S Nehal
    278 Nehal
  3. Erica H Lee
    135 Lee
  4. Klaus J Busam
    688 Busam