Lentigo maligna melanoma : challenges in diagnosis and management / Kishwer S. Nehal, Klaus J. Busam, editors.

This book provides a comprehensive approach to the diagnosis and management of melanoma of the lentigo maligna subtype, specifically. Authors from multiple fields provide educational information along with importantly relevant, practical, and insightful details to improve the understanding and manag...

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Bibliographic Details
Other Authors: Nehal, Kishwer S., Busam, Klaus J.
Format: eBook
Language:English
Published: Cham : Springer, 2017.
Subjects:
Online Access:Click for online access
Table of Contents:
  • Foreword; Acknowledgments; Contents; Contributors; Part I: Introduction; Chapter 1: Introduction; Chapter 2: Epidemiology and Natural History; Introduction; Incidence; Risk Factors; Progression of LM to LMM; Role of Genetics; Future Direction; Conclusion; References; Part II: Clinical and Pathologic Diagnosis; Chapter 3: Clinical Diagnosis; Introduction; Clinical Diagnosis; Patient Demographics; Location; Size; Morphology (Borders and Colors); ABCDE's of Melanoma; Deciding Whether and How to Biopsy; Wood's Lamp; Biopsy Techniques; Sampling Error; Conclusion; References.
  • Chapter 4: Role of Dermoscopy Introduction; Dermoscopy Technique; Anatomic Considerations of Lentigo Maligna Melanoma; Dermoscopic Features of LM/LMM; Progression Model of LMM; LM/LMM on Non-facial Skin; Dermoscopic Differential Diagnosis; Management of LM/LMM; Conclusion; References; Chapter 5: Pathologic Diagnosis; Introduction; Current Nomenclature; History: Hutchinson's Melanotic Freckle and Circumscribed Precancerous Melanosis of Dubreuilh; Histologic Diagnosis; Obtaining a Biopsy Specimen; Histologic Features; Ancillary Diagnostic Test; Immunohistochemistry.
  • Molecular Tests Differential Diagnosis; Melanocytic Hyperplasia of Sun-Damaged Skin; Solar Lentigo; Pigmented Actinic Keratosis; Lichen Planus-Like Keratosis; Pigmented Squamous Cell Carcinoma In Situ; Junctional Melanocytic Nevus; Future Considerations; Summary; References; Part III: Surgical Management; Chapter 6: Staged Excision Techniques; Introduction; Staged Excision Techniques; Square Procedure and Associated Variations; Spaghetti Technique and Associated Variations; Slow Mohs; Staged Excision with Radial Vertical Sections and Variations; Mapped Serial Excision.
  • Advantages and Disadvantages of Staged Excision Techniques Conclusion; References; Chapter 7: Mohs Surgery for Lentigo Maligna Melanoma; Introduction; History of Mohs Micrographic Surgery; The Process of Mohs Micrographic Surgery for Melanoma; Tumor Debulking for Melanoma Pathologic Staging; Immunohistochemical Stains for Melanoma; Highly Skilled Mohs Lab Necessary for Melanoma; Local Recurrence After Mohs Surgery; Indications for MMS; Advantages of Mohs Surgery; Detecting Melanoma Upstaging Prior to Reconstruction; Mohs Excision with Clear Histologic Margins Prior to Reconstrution.
  • Immediate Reconstruction After Clear Mohs Histologic Margins Mohs Surgery for Lentigo Maligna Melanoma: Controversies; Importance of Establishing a Standard Definition for a "Positive Margin" of Melanoma; Challenges for Widespread Use of Mohs Surgery for Melanoma; Conclusion; References; Chapter 8: Histologic Processing and Evaluation of Surgical Excision Specimens; Introduction; Standard Breadloaf; Technique; Advantages; Limitations; Margin Controlled Excision Techniques; Mohs Micrographic Surgery Using Frozen Sections; Technique; Advantages; Limitations.