Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single Stage Treatment.

@article{Karanetz2015MelanomaEW,
  title={Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single Stage Treatment.},
  author={Irena Karanetz and Sharon S Stanley and Denis Knobel and Benjamin D. Smith and Mansoor Beg and Armen K. Kasabian and Neil Tanna},
  journal={Plastic and reconstructive surgery},
  year={2015},
  volume={136 4 Suppl},
  pages={138},
  url={https://api.semanticscholar.org/CorpusID:6598815}
}
The authors aim to evaluate oncologic safety and cost benefit of single stage neoplasm extirpation with immediate reconstruction and single-stage surgery with potential healthcare cost savings and avoiding a period of disfigurement.
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10 Citations

10 Citations

Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single-Stage Treatment?

This large series demonstrates that immediate reconstruction can be safely performed in melanoma patients with an acceptable rate of residual tumor requiring reoperation and significant health care cost savings.

Impact of Immediate Surgical Reconstruction Following Wide Local Excision of Malignant Head and Neck Melanoma

Reconstruction at time of excision is an oncologically safe approach for the management of patients with malignant melanoma, and a prior history of melanoma may be associated with local recurrence.

Reply: Melanoma Extirpation with Immediate Reconstruction: The Oncologic Safety and Cost Savings of Single-Stage Treatment.

The incidence of positive margins is really low, also including head and neck melanoma, if melanoma excision is performed following the international guidelines for wide local excision, and according to the current scientific literature.

Challenges in the Complex Management of Neglected Cutaneous Melanomas in the Head and Neck Area: A Single Center Experience

The results show that in the case of large, locally advanced melanomas, surgical treatment still plays a crucial role that can provide long-term local control and support the effect of systemic treatment.

Reconstruction of Calcaneous Region after Melanoma Excision with Extended Medial Plantar Flap: Case Report

The medial plantar flap provides adequate coverage for the calcaneal region, resistant to local inherent traumas of the region, with low morbidity in the donor area, good esthetic effect, rare complications, easy reproducibility and satisfactory functional recovery.

Considerations for Timing of Defect Reconstruction in Cutaneous Melanoma of the Head and Neck

The incidence and characteristics of cases with positive margins on wide local excision for cutaneous melanoma of the head and neck (CMHN) are identified and therefore provide a potential basis for selectively delaying reconstruction pending final histological clearance of melanoma.

Management of complications after skin surgery relevant for melanoma in the trunk and extremities during the COVID-19 pandemic: a case series report

Severe complications following wide local excision of melanoma are infrequent but must be swiftly and appropriately managed, especially during the COVID-19 pandemic to decrease the likelihood of COVID-19 infection and impaired oncology outcomes from delaying systemic cancer therapy due to the complications in primary interventions.

Positive Margins in Cutaneous Melanoma of the Head and Neck: Implications for Timing of Reconstruction

Patients diagnosed with CMHN between 2004 and 2016 were diagnosed with the following clinicopathologic features associated with positive margins after surgical treatment of cutaneous melanoma of the head and neck: increasing age, female sex, the lip subsites, the eyelid subsite, the face subsite and the desmoplastic subtype, the spindle cell sub type, and advanced pT classification.

Incompletely excised lentigo maligna melanoma is associated with unpredictable residual disease: clinical features and the emerging role of reflectance confocal microscopy

Lentigo maligna/lentigo maligna melanoma (LM/LMM) poses a treatment and surgical challenge given unpredictable subclinical extension resulting in incomplete excision.

Delphi Consensus Among International Experts on the Diagnosis, Management, and Surveillance for Lentigo Maligna

Clinical and histological diagnosis of LM is challenging and should be based on macroscopic, dermatoscopic, and RCM examination followed by a biopsy, which is commonly used either as alternative off-label primary treatment in selected patients or as adjuvant therapy following surgery.

4 References

Reconstructive considerations in the surgical management of melanoma.

Head and Neck Malignant Melanoma: Margin Status and Immediate Reconstruction

Tumor characteristics associated with a positive margin were locally recurrent, ulcerated, and T4 tumors (P < 0.05); and delayed reconstruction should be considered in these circumstances.

Key Maneuvers for Successful Correction of a Deviated Nose in Asians

Deviated nose in Asians can be managed successfully by combining key maneuvers that correct specific anatomic abnormalities by combining approaches and techniques that take into account the race-specific characteristics of the Asian nose.