One Step Melanoma Surgery (OSMS) Without Using Ultrasonography for Preoperative Tumour Thickness Measurement? - ʺA Question that Sometimes Drives Me Hazy: Am I or Are the Others Crazy! ʺ

Sociedad y Ambiente

View Publication Info
 
 
Field Value
 
Title One Step Melanoma Surgery (OSMS) Without Using Ultrasonography for Preoperative Tumour Thickness Measurement? - ʺA Question that Sometimes Drives Me Hazy: Am I or Are the Others Crazy! ʺ
 
Creator Tchernev, Georgi
Temelkova, Ivanka
Stavrov, Konstantin
 
Description BACKGROUND: One step melanoma surgery is a new surgical approach by which specific groups of patients with cutaneous melanoma may be operated only by or within a single surgical session. Until now, the Bulgarian Society for Dermatologic Surgery (BULSDS) has presented models of clinical behaviour, in which preoperative measurement of tumour thickness in combination with echographic measurement of the locoregional lymph nodes could lead to the conduct of the so-called one-step melanoma surgery. Although this one step surgery currently does not fit in the recommended guidelines, it ensures compliance of the recommended boundaries of operational security while saving patients a repeated excision and relieves the healthcare institutions or the patients themselves financially.CASE REPORT: We at this moment present another case from the Bulgarian Society for Dermatologic Surgery (BULSDS) of one step melanoma surgery with a perfect end result, where the tumour thickness was not preoperatively determined by high-frequency echography. Preoperative assessment of tumour thickness was performed based on the clinical picture and dermatoscopy. The histologically established tumour thickness was identical to the preoperative assessment, i.e. <1 mm. Removal of the melanocytic lesion was performed with operational security field of 1cm in all directions, where, as a rule, no further removal of the draining lymph nodes is required.CONCLUSION: Оne step melanoma surgery has two significant advantages: 1) it saves a re-excision in certain groups of patients, which in turn is 2) significantly more favourable from a financial point of view. Its applicability in the appropriate groups of patients and the postoperative (although in a limited number of patients) results achieved indicate the need to optimise the current algorithms and direct them individually to each patient. Guidelines may not and should not be unified or set strict limits given the fact that they show a significant level of variability themselves regarding some key moments in the initial surgical treatment of melanoma. More than 10% of the primary melanoma cases refer to thin melanomas, and dermatoscopy and clinics are a sufficient method of optimising the planned surgical excision.
 
Publisher Scientific Foundation SPIROSKI, Skopje, Republic of Macedonia
 
Date 2018-06-06
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Case report
 
Format application/pdf
application/pdf
 
Identifier http://www.id-press.eu/mjms/article/view/oamjms.2018.236
10.3889/oamjms.2018.236
 
Source Open Access Macedonian Journal of Medical Sciences; Vol 6 No 6 (2018): Jun 20 (OAMJMS); 1085-1090
1857-9655
 
Language eng
 
Relation http://www.id-press.eu/mjms/article/view/oamjms.2018.236/2205
http://www.id-press.eu/mjms/article/view/oamjms.2018.236/2147
 
Rights Copyright (c) 2018 Georgi Tchernev, Ivanka Temelkova, Konstantin Stavrov
http://creativecommons.org/licenses/by-nc/4.0
 

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us

Twitter

Copyright © 2015-2018 Simon Fraser University Library