What are the treatment recommendations for stage 0 in situ and stage IA malignant melanoma?

Updated: May 05, 2020
  • Author: Winston W Tan, MD, FACP; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

Stage 0 in situ and IA [1] :

  • For patients with stage 0 and stage IA melanoma (< 0.8 mm thick, no ulceration) wide-excision surgery is recommended as primary treatment

  • For patients with stage IA with one or more adverse features (eg, very high mitotic index ≥2/mm2, particularly in a young patient; lymphovascular invasion), discuss and consider sentinel lymph node biopsy (SLNB) in addition to wide-excision surgery


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