Fast Five Quiz: Melanoma and Other Skin Cancers

William James, MD


July 01, 2021

According to guidelines from the European Dermatology Forum, European Association of Dermato-Oncology, and European Organisation for Research and Treatment of Cancer, in the case of primary melanoma, secondary excision (reexcision) should be performed in order to reduce the risk for local recurrence. Recommended peripheral surgical margins are 1 cm for tumors 0.5 mm to < 2 mm thick and 2 cm for tumors > 2 mm thick. Blind destructive treatments (eg, cryotherapy, laser, topical drugs) are not recommended if melanoma cannot be excluded. Microscopically controlled surgery can be used to spare tissue and achieve compete resection in particular melanoma subtypes, such as lentigo maligna melanoma, and in genital and acral melanomas.

The guidelines also state that patients with melanoma brain metastases should be treated with stereotactic radiation therapy. Surgery is an option if stereotactic radiation therapy is not possible. Whole-brain radiation therapy is not recommended for melanoma brain metastases.

Read more about the treatment of melanoma.

This Fast Five Quiz was excerpted and adapted from the Medscape Drugs & Diseases articles Deadly Skin Cancers, Nomelanoma Skin Cancers You Need to Know, Malignant Melanoma, Skin Cancer – Melanoma, Basal Cell Carcinoma, and Cutaneous Squamous Cell Carcinoma.

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