Does the Type of Initial Biopsy Method Determine Re-Excision Rate of Cutaneous Melanoma?
Author(s): Ramya Vangipuram, Mary Ramirez, Yasir Al Abboodi and Subhasis MisraRamya Vangipuram, Mary Ramirez, Yasir Al Abboodi and Subhasis Misra
Background: Various biopsy types are used to diagnose melanoma, after which wide local excision (WLE) is the gold standard for treatment. Depending on the final pathology report, further re-excision may be necessary despite an initial, presumably adequate, WLE. In this study, we analyzed the impact of initial biopsy type (shave, punch, or excision) on the management of melanoma. Methods: A retrospective chart review of 243 patients with clinically node-negative melanoma was completed. Evaluated variables included the initial biopsy type, initial and final peripheral and deep margin status, further reexcision rates, tumor site, and clinician specialty performing the biopsy. Univariate and multivariate analyses tests were performed using SPSS software. Results: 29.5% of specimens with both positive peripheral and dee.. Read More»