The Operative Management of Melanoma: Where Does Mohs Surgery Fit In?

BACKGROUND
Melanoma is a life-threatening malignancy. Surgery is the primary management for melanoma, and management guidelines have evolved gradually over a century from radical surgery with lymph node dissection to conservative margin surgery. There are specific rationales and problems with Mohs micrographic (MMS) surgery for managing melanoma.


OBJECTIVE
To review the literature for the surgical management of melanoma and to understand where MMS fits in this spectrum of management options.


CONCLUSIONS
MMS should be considered as an option for melanoma surgery, especially when the tumor is found in photodamaged skin. Further randomized ...

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