Abstract

In spite of new developments in the knowledge of the biology of melanoma and its treatment modalities, surgery remains the key treatment modality for malignant melanoma of which the incidence is rising all over the world. Numerous factors such as the histopathologic features of the tumor, its anatomic localization and patient preferences must be considered in the planning of the surgery, and the treatment should be personalized for each patient. Improving the outcome while preserving oncologic treatment principles is the main goal in melanoma treatment. In this article, the authors discuss the surgical approach to malignan melanoma. Topics such as diagnostic biopsy, excision of the primary and recurrent tumors, nodal staging and metastasectomy as well as areas of controversy have been highlighted.