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Sir, My mother is suffering from In Situ Malignant Melanoma in left great toe. One excision has done. The biopsy report says --- In Situ Malignant Melanoma and still some melanocyte are present in the toe. Then I have consulted with a surgeon and he says again a deep excision and skin grafting is required and this the end of the treatment. Because,there is no chemotherapy or radiotherapy of In Situ Malignant Melanoma. Sir,will it be better to cut off the whole toe?
2Doctors Answered
89% (489 ratings)
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Yes it has to be wide excison. So another operation is requird with detail investigatinnons for secondries.
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YESSOMEWHATNO
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Melanoma needs excision of the lesions with a 2 cm margin. If that can be achieved without amputation of the toe it can be done else will need removal of the great toe. Before surgery evaluation of the whole limb for skip lesions and the groin for nodes should be done. Imaging should also be done of that limb and abdomen and chest to look for distant metastases.
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YESSOMEWHATNO
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