As surveyors of the skin, it is important for dermatologists to be awa
re of recent developments in the management of melanoma. Revised recom
mendations for surgical margins will be reviewed as will the use of Mo
hs micrographic surgery for the excision of melanoma, in particular le
ntigo maligna. An explanation of the technique of sentinel node biopsy
is followed by a discussion of the results of recent clinical trials.
Adjuvant immunotherapy in the form of vaccines and high dose cu-inter
feron is outlined as is the concept of biochemotherapy for more advanc
ed disease. Copyright (C) 1998 by W.B. Saunders Company.