Abstract
The surgical management of melanoma has dramatically changed over the last few decades. Through the development and conduction of well-designed prospective, randomized trials, we have been able to refine the way that we surgically manage patients with melanoma. Indeed, many important issues have been addressed through such trials: the proper surgical margins for the primary melanoma, utility of the elective lymph node dissection, and the role for selective lymphadenectomy, to name a few. In this review, we will provide an overview of the current literature and offer practice guidelines for the surgical management of the primary melanoma.
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