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Titlebook: Lentigo Maligna Melanoma; Challenges in Diagno Kishwer S. Nehal,Klaus J. Busam Book 2017 Springer International Publishing Switzerland 2017

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Staged Excision Techniques methods may be associated with a higher risk of local recurrence. Staged excision techniques using permanent sections with more comprehensive margin evaluation may be preferred for treating LM and LMM particularly in sun damaged skin on the head and neck. Herein we discuss reported variations of st
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Mohs Surgery for Lentigo Maligna Melanomaticularly lentigo maligna melanoma (LMM). If reconstruction is performed immediately after conventional excision and before confirming clear margins, patients may require additional excisions and more complex reconstruction procedures. Mohs micrographic surgery (MMS) with melanocytic immunostains ad
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Role of Topical Therapy: Imiquimodapy, and topical therapies. Evidence for the use of various topical agents, including tretinoin, azelaic acid, and 5-fluorouracil, is limited. The greatest evidence exists for imiquimod 5 % cream, which has been investigated in multiple case series and studies. Topical imiquimod appears to be effect
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Role of Radiationapy may be the preferred treatment because surgery is not possible, or incompletely removes the LM or LMM. Radiation therapy is advantageous, because it is able to preserve tissue and limit cosmetic and functional compromise from surgery. Over the last several decades, a wide range of techniques inc
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