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Mohs Surgery for Lentigo Maligna Melanoma

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Lentigo Maligna Melanoma

Abstract

Melanomas with indistinct clinical margins are at increased risk for local recurrence or positive microscopic margins after conventional excision, particularly lentigo maligna melanoma (LMM). If reconstruction is performed immediately after conventional excision and before confirming clear margins, patients may require additional excisions and more complex reconstruction procedures. Mohs micrographic surgery (MMS) with melanocytic immunostains addresses these challenges with immediate microscopic examination of the entire peripheral and deep surgical margin to identify and remove subclinical LMM prior to reconstruction. This chapter explains MMS for LMM and how it can improve management compared to conventional excision.

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Authors and Affiliations

  1. Department of Dermatology, University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Suite 1-330S, Philadelphia, PA, 19104, USA

    Thuzar M. Shin, Joseph F. Sobanko, Jeremy R. Etzkorn & Christopher J. Miller MD

Authors
  1. Thuzar M. Shin
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  2. Joseph F. Sobanko
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  3. Jeremy R. Etzkorn
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  4. Christopher J. Miller MD
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Corresponding author

Correspondence to Christopher J. Miller MD .

Editor information

Editors and Affiliations

  1. Attending Physician, Director of Mohs and Dermatologic Surgery Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, USA

    Kishwer S. Nehal

  2. Attending Pathologist Director of Dermatopathology Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, USA

    Klaus J. Busam

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Shin, T.M., Sobanko, J.F., Etzkorn, J.R., Miller, C.J. (2017). Mohs Surgery for Lentigo Maligna Melanoma. In: Nehal, K., Busam, K. (eds) Lentigo Maligna Melanoma. Springer, Cham. https://doi.org/10.1007/978-3-319-43787-3_7

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  • DOI: https://doi.org/10.1007/978-3-319-43787-3_7

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  • Online ISBN: 978-3-319-43787-3

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