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What protocol do you follow when performing staged excision with paraffin sections for the treatment of cutaneous melanoma?

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Mednet Member
Dermatology · Baylor College of Medicine

Our surgical protocol is as follows:

  1. Place marking sutures at 12 and 6-o'clock on debulk, margins, and patient (more marking sutures if a big tumor).
  2. Take a central debulk with 1-3mm margins around visible tumor (+/- Woods lamp) for breadloaf sections. Depth of excision is down to superficial fat. ...

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