Wide excision shoud not be considered as standart of care for primary cutaneous melanoma

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Abstract

Aim. To assess possible influence of surgical margins on local recurrence rate and survival. Methods. Retrospective analysis of the individual data of 352 patients with primary cutaneous melanoma of the trunk and limbs was performed. 108 patients underwent so-called «wide excision» of the tumor with the average margins from the visible tumor edges of 3,5 cm. In 244 patients more «narrow» excision was performed with average margins 2,0 cm. Results and conclusion. Margins had not any influence on treatment results. The frequency of local recurrence, regional and distant metastases, as well as 5-year survival rates were similar in both groups.

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L. V. Demidov

FGBU N.N. Blokhin Russian Cancer Research Center

Author for correspondence.
Email: demidov.lev@gmail.com
Russian Federation

K. A. Baryshnikov

FGBU N.N. Blokhin Russian Cancer Research Center

Russian Federation

E. V. Martynova

Regional oncologic dispensary, Samara

Russian Federation

I. V. Samoylenko

FGBU N.N. Blokhin Russian Cancer Research Center

Russian Federation

T. K. Kharatishvili

FGBU N.N. Blokhin Russian Cancer Research Center

Russian Federation

S. A. Khatyrev

FGBU N.N. Blokhin Russian Cancer Research Center

Russian Federation

E. A. Cheremushkin

FGBU N.N. Blokhin Russian Cancer Research Center

Russian Federation

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Copyright (c) 2013 Demidov L.V., Baryshnikov K.A., Martynova E.V., Samoylenko I.V., Kharatishvili T.K., Khatyrev S.A., Cheremushkin E.A.

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