Melanoma of the Skin, Vulva, Penis and Scrotum Treatment
Surgery is the primary treatment for all stages of melanoma, particularly localized melanoma. A complete, wide local excision with sentinel lymph node biopsy and/or elective lymph node dissection is considered as standard treatment for patients with primary melanoma. Because examination of all layers of the skin is essential, shave biopsies are not recommended, and must be followed by re-excision.
In absence of clinically palpable nodes, lymphatic mapping and sentinel node biopsy may be utilized to help decide whether to perform regional lymphadenectomy in patients with melanomas >1 mm in depth. If micrometastasis is found to be present in the sentinel node, lymph node dissection is performed.