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Aktuelle Dermatologie 2022; 48(03): 76-83
DOI: 10.1055/a-1540-1518
Übersicht

Operative Therapie des malignen Melanoms

Surgical Therapy of Malignant Melanoma
Axel Mechlin
Hautklinik, Klinikum Nürnberg
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Zusammenfassung

Die operative Therapie ist maßgeblich im Behandlungskonzept des malignen Melanoms. Sie ist essentieller Bestandteil der Diagnosesicherung, des Stagings und der Therapie in allen Stadien der Erkrankung. Die optimale Planung und Durchführung der Primärexzision, der Sentinel-Lymphknoten-Biopsie und der Nachexzision mit Sicherheitsabstand legen den Grundstein einer erfolgreichen Behandlung, die neben oder auch in Kombination mit einer modernen Systemtherapie die Metastasen-Chirurgie miteinschließt.

Abstract

Surgical therapy is an important part of the treatment concept for malignant melanoma. It is an essential component of confirming the diagnosis, staging and therapy in all stages of the disease. Optimal planning and execution of the primary excision, sentinel lymph node biopsy and post-excision with a safety margin lay the foundation for successful treatment, which includes metastatic surgery in addition to or in combination with systemic therapy.



Publication History

Article published online:
16 March 2022

© 2022. Thieme. All rights reserved.

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