Castrow F F, Chernosky M E
J Dermatol Surg Oncol. 1979 Feb;5(2):109-11. doi: 10.1111/j.1524-4725.1979.tb00621.x.
Views and opinions about surgical treatment of primary malignant melanomas that are without local spread or metastasis are presented. An attempt is made to determine the limitations of office-based dermatologists in the treatment of malignant melanomas of this stage. Using accepted criteria for clinical recognition of malignant melanomas early, it is suggested that surgical excisions of small malignant melanomas that are judged to be complete obviate preliminary biopsies and furnish surgical specimens that can be read histopathologically for confirmation of clinical diagnosis and adequacy of excision.
本文介绍了关于无局部扩散或转移的原发性恶性黑色素瘤手术治疗的观点和意见。旨在确定门诊皮肤科医生在治疗该阶段恶性黑色素瘤方面的局限性。根据早期恶性黑色素瘤临床识别的公认标准，建议对判断为完整切除的小恶性黑色素瘤进行手术切除，无需进行初步活检，并提供可进行组织病理学检查的手术标本，以确认临床诊断和切除的充分性。
