One-hundred ninety-two cases of cutaneous melanoma are reviewed, with a detailed analysis of the 115 patients followed for over five years. A comparison is made between the histological staging systems of tumor thickness and level of invasion, along with an assessment of the value of prophylactic node dissections. It is concluded that either method offers, at best, an estimate of prognosis. Advantages and disadvantages encountered with each method are discussed. Local recurrence is most likely when the melanoma is not excised down to deep fascia, has an excisional margin less than three cm, or is treated with fulguration or cryotherapy.
ASJC Scopus subject areas
- Public Health, Environmental and Occupational Health