Abstract
Background: Melanomas represent about 1% of all skin cancer with an increasing incidence despite prevention campaigns. In Switzerland, one person out of fifty will develop this disease. After diagnosis by the general practitioner or dermatologist, the patient is referred to a specialized centre. According to T stage, the first step is scar excision and sentinel lymph node (SLN) biopsy. Surgical margins depend on the Breslow index (depth in millimetre of the tumour) and may be up to 2 cm. According to localization, it can be a mutilating procedure requiring skin grafts or flaps. The aim of the present study was to assess the efficiency of the scar excision with surgical margins and identify risks factors/correlation in patients presenting residual disease after first excision
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