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Malignant melanoma of the external ear

1968; Wiley; Volume: 21; Issue: 2 Linguagem: Inglês

10.1002/1097-0142(196802)21

1097-0142

Neil O. Ward, Mario J. Acquarelli,

Ear Surgery and Otitis Media

CancerVolume 21, Issue 2 p. 226-233 ArticleFree Access Malignant melanoma of the external ear Neil O. Ward MD, Neil O. Ward MD Wadsworth VA Hospital, Los Angeles, Calif.Search for more papers by this authorMario J. Acquarelli MD, Corresponding Author Mario J. Acquarelli MD Wadsworth VA Hospital, Los Angeles, Calif.Chief, Head and Neck Surgical Service, Wadsworth VA Hospital, Wilshire and Sawtelle Boulevards, Los Angeles, Calif. 90073===Search for more papers by this author Neil O. Ward MD, Neil O. Ward MD Wadsworth VA Hospital, Los Angeles, Calif.Search for more papers by this authorMario J. Acquarelli MD, Corresponding Author Mario J. Acquarelli MD Wadsworth VA Hospital, Los Angeles, Calif.Chief, Head and Neck Surgical Service, Wadsworth VA Hospital, Wilshire and Sawtelle Boulevards, Los Angeles, Calif. 90073===Search for more papers by this author First published: February 1968 https://doi.org/10.1002/1097-0142(196802)21:2 3.0.CO;2-HCitations: 16AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Abstract Little information has been published on experience with surgical treatment of malignant melanoma of the external ear. Review of the literature and four representative cases admitted to the Wadsworth VA Hospital between 1947 and 1967 provides a basis for therapeutic recommendations. Elective neck dissections are advocated because approximately 40% of melanoma patients treated by local excision alone eventually will develop regional node metastases and because of the high incidence of microscopic malignancy in clinically negative neck dissection specimens. Earlier diagnosis and treatment by surgeons who apply the established principles of radical surgery for cancer can result in improved surviyal rates as demonstrated by our 19-year survival of stage II melanoma treated by amputation of the affected auricle in continuity with a radical neck dissection. References 1 Ackerman, L. V., and del Ragato, J. A.: Malignant Melanoma of the Skin in Cancer, 3rd ed. St. Louis, C. V. Mosby Co., 1947; p. 221. 2 Affleck, D. H.: Melanomas. Am. J. Cancer 27: 120, 1936. 3 Allen, A. 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Surgery 17: 849, 1945. 36 Panel Discussion: Treatment of Melanoma, Ann. N.Y. Acad. Sci. 100: 166, 1963. 37 Preston, F. W., and Staley, C. J.: Controversial aspects of the management of malignant melanoma. Surg. Clin. N. Am. 38: 183, 1958. 38 Price, W. E., and DuVal, M. K., Jr.: Regional lymph node dissection and malignant melanoma. Arch. Surg. 87: 747, 1963. 39 Raven, R. W.: The clinicopathological aspects of malignant melanoma. Ann. N.Y. Acad. Sci. 100: 142, 1963. 40 Southwick, H. W., Slaughter, D. P., and Hen-Kamp, J. F.: Malignant melanoma of the skin of the head and neck. Am. J. Surg. 106: 852, 1963. 41 Southwick, H. W., Slaughter, D. P., Henkamp, J. F., and Johnson, F. E.: The role of regional node dissection in the treatment of malignant melanoma. Arch. Surg. 85: 63, 1962. 42 Sylven, B., and Hamberger, C. A.: Malignant melanoma of the external ear. Ann. Otol. 59: 631, 1950. 43 Sylven, B.: Malignant melanoma of the skin. 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