Reexcision

Introduction

If the pathohistology shows malignant melanoma there is an indication for re-excision. The distance starts from the suture punctures and not the scar.

If the tumor depth is under 1 mm, the re-excision is 5 mm to muscle fascia. (Total distance 10 mm).

If the tumor depth is over 1 mm or if it is not possible to measure tumor depth, re-excision is 15 mm to muscle fascia. (Total distance 20 mm)

Final distance of excision  is always defined by tumour depth

MM in situ: total excision distance 5 mm MM  ≤ 1 mm: total excision distance 10 mm MM  ≥ 1 mm: total excision distance 20 mm

If the melanoma was removed by a doctor outside the specialty of plastic surgery, the primary excision distance is unknown. Therefore the primary excision is 0 mm.

E.g: primary excision of SSMM 0.5 mm at general practitioner: 0 mm + 10 mm = Total distance 10 mm.

Re-excision procedure