H. CALHOUNKARENMDB. KUPPERSMITHRONALDMD
Myers has presented an unbiased discussion of intermediate thickness (1-4 mm) melanomas and the values of ELND. The majority of the references are recent, from 1995 to 1998, the period in which this topic has come to the forefront in head and neck surgery. This attention reflects the changes in the treatment of malignant melanoma during those years, especially in (1) examining pathologic specimens with the criteria of Breslow thickness and Clark level, (2) decreasing the margins of resection, and, now, (3) using neck dissection in all levels higher than level I or depths greater than 1 mm in patients whose clinical results and computed tomographic scans are negative for malignant melanoma.
Ronald C. Hamaker. Experience and Clinical Judgment Required in the Treatment of Malignant Melanoma. Arch Otolaryngol Head Neck Surg. 1999;125(1):115–116. doi:10.1001/archotol.125.1.115