The One Step Melanoma Surgery (OSMS): A New Chance for More Adequate Surgical Treatment of Melanoma Patients!?

  • Georgi Tchernev Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev 79, 1606 Sofia, Bulgaria; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, General Skobelev 26, 1606 Sofia, Bulgaria
  • Ivanka Temelkova Medical Institute of Ministry of Interior (MVR), Department of Dermatology, Venereology and Dermatologic Surgery, General Skobelev 79, 1606 Sofia, Bulgaria; Onkoderma - Clinic for Dermatology, Venereology and Dermatologic Surgery, General Skobelev 26, 1606 Sofia, Bulgaria
Keywords: One Step Melanoma Surgery (OSMS), Melanoma, ultrasound assessment

Abstract

One step melanoma surgery (OSMS) is applicable to all patients with clear clinical and dermatoscopic criteria for thin cutaneous melanomas or melanoma in situ lesions, even without the need for preoperative tumour thickness measurement. Amelanotic melanomas and melanomas with clinical and dermatoscopical features for regression zones could be problematic when applying the OSMS.  The methodology could be also applicable to all groups of patients where the tumour thickness could be measured preoperatively/by ultrasound (while in parallel also determining the status of the locoregional lymph nodes). For tumours with a tumour thickness between 2 and 4 mm, but also over 4mm the OSMS seems to be the correct choice.

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References

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Tchernev G, Temelkova I. The Novel Surgical Margin for One Step Melanoma Surgery (OSMS) (Without Using Ultrasonography Preoperatively): The End of Conformity! ËVivere militare est!Ë Open Access Maced J Med Sci. 2018; 6(7):1263 -1266. https://doi.org/10.3889/oamjms.2018.288 PMid:29983807 PMCid:PMC6026427

Tchernev G, Temelkova I. Comparative Analysis of the "Scholastic" Recommendations of the AJCC From 2011 for the Surgical Treatment of Cutaneous Melanoma with the Newly Suggested Guidelines for OSMS From the Bulgarian Society For Dermatologic Surgery! Open Access Maced J Med Sci. 2018; 6(12):2369-2372. https://doi.org/10.3889/oamjms.2018.511 PMid:30607193 PMCid:PMC6311480

Published
2019-02-13
How to Cite
1.
Tchernev G, Temelkova I. The One Step Melanoma Surgery (OSMS): A New Chance for More Adequate Surgical Treatment of Melanoma Patients!?. Open Access Maced J Med Sci [Internet]. 2019Feb.13 [cited 2021Jan.24];7(3):504-6. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2019.147
Section
Letter to the Editor