Locoregional Cutaneous Metastases of Malignant Melanoma and their Management
Article first published online: 10 FEB 2004
Volume 30, Issue Supplement s2, pages 244–247, February 2004
How to Cite
Wolf, I. H., Richtig, E., Kopera, D. and Kerl, H. (2004), Locoregional Cutaneous Metastases of Malignant Melanoma and their Management. Dermatologic Surgery, 30: 244–247. doi: 10.1111/j.1524-4725.2004.30091.x
- Issue published online: 10 FEB 2004
- Article first published online: 10 FEB 2004
The correct classification of locoregional metastases of malignant melanoma to skin is central to the planning of treatment. Local recurrence means persistence of neoplastic cells at the local site by virtue of incomplete excision of the primary melanoma. Standard treatment is excisional surgery. In contrast, locoregional metastases of malignant melanoma (satellites, in-transit metastases) are metastases around a primary melanoma or between a primary melanoma and regional lymph nodes. They represent intralymphatic or hematogenous spread of neoplastic cells. We present a variety of available treatment options and discuss especially topical imiquimod as a novel approach for the palliative treatment of locoregional cutaneous melanoma metastases in selected patients.