Denver Health

Abernathy Review

Knife and Gun Club

August, 2008

Melanoma and Skin Cancer


Seminal Articles (i.e. practice changing or classic articles that all should know- read these and be prepared to discuss)

1. Gershenwald et al. Multi-institutional melanoma lymphatic mapping experience: the prognostic value of sentinel lymph node status in 612 stage I or II melanoma patients. J Clin Oncol. 1999 Mar;17(3):976-83.

2. Balch et al. Final version of the American Joint Committee on Cancer staging system for cutaneous melanoma. J Clin Oncol. 2001 Aug 15;19(16):3635-48.

3. Morton et al. Sentinel-node biopsy or nodal observation in melanoma. N Engl J Med. 2006 Sep 28;355(13):1307-17.

4. Thompson JF et al. Surgical management of primary cutaneous melanoma: excision margins and the role of sentinel lymph node examination. Surg Oncol Clin N Am. 2006 Apr;15(2):301-18.


General Knowledge Articles (i.e. scan these and keep them for general references – good reviews)

1. Lane JE and Kent DE. Surgical margins in the treatment of nonmelanoma skin cancer and mohs micrographic surgery. Curr Surg. 2005 Sep-Oct;62(5):518-26.

2. Essner R et al. Contemporary surgical treatment of advanced-stage melanoma. Arch Surg. 2004 Sep;139(9):961-6.

3. Morton et al. Technical details of intraoperative lymphatic mapping for early stage melanoma. Arch Surg. 1992 Apr;127(4):392-9. (Not included)


Discussion Points: (brief comments about topics not entirely covered above)

  • Principles of non-melanoma skin cancer treatment
  • Merkel cell carcinoma
  • Historic evolution of melanoma surgery
  • Surgical treatment impact on survival
  • Molecular staging
  • Limb perfusion/infusion for melanoma
  • Desmoplastic melanoma
  • Chemotherapy for melanoma (Dacarbazine = DTIC)
  • Immunotherapy for melanoma (IL-2, IFN-alpha)
  • Imiquimod (Aldara)