0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Superficial Melanoma:  A Clinical Study

Jerome J. DeCosse, MD; Gordon McNeer, MD
Arch Surg. 1969;99(4):531-534. doi:10.1001/archsurg.1969.01340160111026.
Text Size: A A A
Published online

About one out of ten malignant melanomas are classified histologically as superficial. That is, dermal invasion by nests of melanoma cells is absent.1 Within the widely variable behavior of melanoma, patients with superficial tumors present a particular set of clinical problems.2,3 This kind of histological report, often recovered by the aggressive physician who has excised suspicious nevi, prompts several difficult clinical questions. Is the diagnosis consistent with cancer, or is there an implication that the lesion is simply comparable to an aggressive nevus? Should such a diagnosis be based on clinical data, or solely on histological interpretation, or both? Should he consider definitive the complete, though minimal, excision, or should the patient be subjected to the radical local measures ordinarily employed in the curative approach to this disease? In the absence of clinically significant regional lymph nodes, should elective dissection be carried out either in continuity or separately?

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();